Som, Jack Allan
Som, Jack Allan is an sole proprietor health care provider with primary practice located at Medical Center 400 Ne Mother Joseph Place, Vancouver WA 98668-9989. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Perioperative, which is considered as his primary health care specialty. Som, Jack Allan can be contacted via phone (360) 514-2000.Contact Information
Primary practice address
Medical Center 400 Ne Mother Joseph Place
Vancouver WA 98668-9989
Phone: (360) 514-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Perioperative | 364SP2800X | RN00061877 | Washington |
Profile Details
| NPI number | 1295954998 |
|---|---|
| LBN Legal business name | Som, Jack Allan |
| Credentials | RNFA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 24th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1295954998 | NPPES |
| Washington | Other | RN00061877 | REGISTERED NURSE |
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