Meckstroth, Joel A

Meckstroth, Joel A is an individual health care provider with primary practice located at 307 S. 13Th Street Suite 300, Mount Vernon WA 98274. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Meckstroth, Joel A can be contacted via phone (360) 336-9757.

Contact Information

Primary practice address
307 S. 13Th Street Suite 300 Mount Vernon WA 98274
Fax: (360) 336-2088
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X AP30004883 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP30004883 Washington

Profile Details

NPI number 1437185071
LBN Legal business name Meckstroth, Joel A
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Feb 20th, 2014 - about 11 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 1437185071 NPPES
Washington MEDICAID 9627555
Washington Other 263703

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