Mixon, Jerry Nelson

Mixon, Jerry Nelson is an sole proprietor health care provider with primary practice located at 9757 Ne Juanita Dr 202, Kirkland WA 98034-4299. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Mixon, Jerry Nelson can be contacted via phone (425) 605-8715.

Contact Information

Primary practice address
9757 Ne Juanita Dr 202 Kirkland WA 98034-4299
Fax: (425) 654-0211
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X MD00023643 Washington

Profile Details

NPI number 1366799090
LBN Legal business name Mixon, Jerry Nelson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2012
Last updated Aug 13th, 2012 - 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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