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:
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Health care specialties

SpecialtyCodeLicense #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 15 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 1710175633 NPPES
Washington MEDICAID 8602682
Washington Other MD00023749

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