Mueller, Jerome William
Mueller, Jerome William is an individual health care provider with primary practice located at 12400 E Marginal Way S , Tukwila WA 98168-2559. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Mueller, Jerome William can be contacted via phone (206) 901-7777.Contact Information
Primary practice address
12400 E Marginal Way S
Tukwila WA 98168-2559
Phone: (206) 901-7777
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD00023749 | Washington |
Profile Details
NPI number | 1710175633 |
---|---|
LBN Legal business name | Mueller, Jerome William |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 4th, 2007 |
Last updated | Oct 8th, 2009 - about 16 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 | 1710175633 | NPPES |
Washington | MEDICAID | 8602682 | |
Washington | Other | MD00023749 |
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