Romano, Jack W

Romano, Jack W is an individual health care provider with primary practice located at 9701 Ne 120Th Pl , Kirkland WA 98034-4275. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Romano, Jack W can be contacted via phone (206) 909-2601.

Contact Information

Primary practice address
9701 Ne 120Th Pl Kirkland WA 98034-4275
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA10002119 Washington

Profile Details

NPI number 1114059987
LBN Legal business name Romano, Jack W
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2007
Last updated Aug 13th, 2014 - about 11 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 1114059987 NPPES
Washington Other G8864515 MEDICARE PTAN

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