Shuey, Jackie Sue

Shuey, Jackie Sue is an individual health care provider with primary practice located at 737 Fawcett Ave Ms 737-2-Phys, Tacoma WA 98402-5503. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Medical. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Shuey, Jackie Sue can be contacted via phone (253) 951-6020.

Contact Information

Primary practice address
737 Fawcett Ave Ms 737-2-Phys Tacoma WA 98402-5503
Phone: (253) 951-6020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OA10000209 Washington
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA10004350 Washington

Profile Details

NPI number 1528065265
LBN Legal business name Shuey, Jackie Sue
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528065265 NPPES
Washington MEDICAID 8372269

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