Radakovich, Jeffrey
Radakovich, Jeffrey is an individual health care provider with primary practice located at Ne 1125 Washington St Washington State University, Pullman WA 99164-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Radakovich, Jeffrey can be contacted via phone (509) 335-3575.Contact Information
Primary practice address
Ne 1125 Washington St Washington State University
Pullman WA 99164-0001
Phone: (509) 335-3575
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00036670 | Washington |
Profile Details
| NPI number | 1477526580 |
|---|---|
| LBN Legal business name | Radakovich, Jeffrey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1477526580 | NPPES |
| Washington | MEDICAID | 8233975 |
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