Paull, Jessie
Paull, Jessie is an individual health care provider with primary practice located at 1 Boone Rd , Bremerton WA 98312-1894. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Paull, Jessie can be contacted via phone (360) 475-4396.Contact Information
Primary practice address
1 Boone Rd
Bremerton WA 98312-1894
Phone: (360) 475-4396
Fax: (360) 475-4221
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Military Health Care Provider | 171000000X | 0101260765 | Virginia |
Other Service Providers / Military Health Care Provider | 171000000X | MD61218866 | Washington |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 0101260765 | Virginia |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD61218866 | Washington |
Profile Details
NPI number | 1912392085 |
---|---|
LBN Legal business name | Paull, Jessie |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 5th, 2015 |
Last updated | Jan 3rd, 2023 - about 2 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 | 1912392085 | NPPES |
Washington | Other | MD61218866 | LICENSE |
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