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
Phone: (360) 336-9757
Fax: (360) 336-2088
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1437185071 | NPPES |
Washington | MEDICAID | 9627555 | |
Washington | Other | 263703 |
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