Shattuck, Jason

Shattuck, Jason is an individual health care provider with primary practice located at 707 N Emerson Ave , Wenatchee WA 98801-2032. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Shattuck, Jason can be contacted via phone (509) 663-8711.

Contact Information

Primary practice address
707 N Emerson Ave Wenatchee WA 98801-2032
Phone: (509) 663-8711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD60079338 Washington
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD60079338 Washington
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD60079338 Washington

Profile Details

NPI number 1255541371
LBN Legal business name Shattuck, Jason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated May 11th, 2023 - about last year

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 1255541371 NPPES
Washington MEDICAID 1255541371
Washington Other P01256392
Washington Other 0251500

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