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:
Health care specialties
| Specialty | Code | License # | 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 18 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 | 1528065265 | NPPES |
| Washington | MEDICAID | 8372269 |
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