Ploudre, Jonathan Kaiser
Ploudre, Jonathan Kaiser is an individual health care provider with primary practice located at 2116 East Section Street , Mount Vernon WA 98274-9124. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ploudre, Jonathan Kaiser can be contacted via phone (360) 428-1700.Contact Information
Primary practice address
2116 East Section Street
Mount Vernon WA 98274-9124
Phone: (360) 428-1700
Fax: (360) 848-4350
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00045195 | Washington |
Profile Details
| NPI number | 1104827435 |
|---|---|
| LBN Legal business name | Ploudre, Jonathan Kaiser |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Feb 25th, 2011 - about 13 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 | 1104827435 | NPPES |
| Washington | Other | 0198061 | L & I |
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