Muenchrath, John Kelley
Muenchrath, John Kelley is an sole proprietor health care provider with primary practice located at 404 Yauger Way Sw Ste 100 , Olympia WA 98502-8152. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Muenchrath, John Kelley can be contacted via phone (360) 596-4614.Contact Information
Primary practice address
404 Yauger Way Sw Ste 100
Olympia WA 98502-8152
Phone: (360) 596-4614
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | MD20565 | Oregon |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | MD60675016 | Washington |
Profile Details
| NPI number | 1104801356 |
|---|---|
| LBN Legal business name | Muenchrath, John Kelley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 9th, 2005 |
| Last updated | Dec 16th, 2019 - about 5 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 | 1104801356 | NPPES |
| Oregon | MEDICAID | 150295 | |
| Oregon | Other | 1407812365 | |
| Oregon | Other | CD8723 | |
| Oregon | Other | R0000WFBTV | |
| Oregon | Other | 340016121 |
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