Osland, Jacqueline S

Osland, Jacqueline S is an individual health care provider with primary practice located at 390 Founders Way , Forks WA 98331-9062. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Osland, Jacqueline S can be contacted via phone (360) 374-6998.

Contact Information

Primary practice address
390 Founders Way Forks WA 98331-9062
Phone: (360) 374-6998
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0424299 Kansas

Profile Details

NPI number 1750388559
LBN Legal business name Osland, Jacqueline S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Aug 3rd, 2021 - about 4 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 1750388559 NPPES
Kansas MEDICAID 100318690A

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