Mcbride, Jonathan E.G.
Mcbride, Jonathan E.G. is an individual health care provider with primary practice located at 3705 S Meridian Ste B , Puyallup WA 98373-3709. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Mcbride, Jonathan E.G. can be contacted via phone (253) 765-5050.Contact Information
Primary practice address
3705 S Meridian Ste B
Puyallup WA 98373-3709
Phone: (253) 765-5050
Fax: (844) 695-2929
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD26965 | Oregon |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00046768 | Washington |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | MD00046768 | Washington |
Profile Details
| NPI number | 1225135221 |
|---|---|
| LBN Legal business name | Mcbride, Jonathan E.G. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jun 9th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225135221 | NPPES |
| Washington | MEDICAID | 1038955 | |
| Washington | MEDICAID | 028419 |
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