Odell, Jay Michael

Odell, Jay Michael is an individual health care provider with primary practice located at 3900 Capital Mall Drive Sw , Olympia WA 98502. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Pediatric Pathology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Odell, Jay Michael can be contacted via phone (360) 754-5858.

Contact Information

Primary practice address
3900 Capital Mall Drive Sw Olympia WA 98502
Phone: (360) 754-5858
Fax: (360) 956-2574
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD00018566 Washington
Allopathic & Osteopathic Physicians / Pediatric Pathology 207ZP0213X MD00018566 Washington
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD00018566 Washington

Profile Details

NPI number 1043279375
LBN Legal business name Odell, Jay Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Dec 18th, 2007 - about 17 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 1043279375 NPPES
Washington Other 203964 LABOR & INDUSTRIES
Washington MEDICAID 8000994 LABOR & INDUSTRIES

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