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
Fax: (360) 475-4221
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912392085 NPPES
Washington Other MD61218866 LICENSE

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