Mainor, Jamila Nia

Mainor, Jamila Nia is an individual health care provider with primary practice located at 8910 Vernon Rd , Lake Stevens WA 98258-2400. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mainor, Jamila Nia can be contacted via phone (425) 397-1704.

Contact Information

Primary practice address
8910 Vernon Rd Lake Stevens WA 98258-2400
Fax: (425) 335-5145
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2010003245 Missouri
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME126189 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD61215438 Washington

Profile Details

NPI number 1508052754
LBN Legal business name Mainor, Jamila Nia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2007
Last updated Jul 29th, 2022 - about 2 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 1508052754 NPPES
Washington MEDICAID 2210571

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