Lake, Jason Michael

Lake, Jason Michael is an individual health care provider with primary practice located at 820 N Chelan Ave , Wenatchee WA 98801-2028. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Lake, Jason Michael can be contacted via phone (509) 663-8711.

Contact Information

Primary practice address
820 N Chelan Ave Wenatchee WA 98801-2028
Phone: (509) 663-8711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 01055969A Indiana
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD60197811 Washington

Profile Details

NPI number 1225133820
LBN Legal business name Lake, Jason Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Aug 9th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225133820 NPPES
Washington Other 0284329 L&I
Washington MEDICAID 1225133820 L&I
Washington Other P01082412 L&I

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