Thill, Jennifer Kristin

Thill, Jennifer Kristin is an individual health care provider with primary practice located at 810 Jasmine St , Omak WA 98841-9578. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Thill, Jennifer Kristin can be contacted via phone (509) 826-1760.

Contact Information

Primary practice address
810 Jasmine St Omak WA 98841-9578
Phone: (509) 826-1760
Fax: (509) 826-7211
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00047900 Washington

Profile Details

NPI number 1770666281
LBN Legal business name Thill, Jennifer Kristin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2006
Last updated Sep 11th, 2013 - 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 1770666281 NPPES
Washington Other 0222348 L&I
Washington Other 8944672 L&I
Washington MEDICAID 8484529 L&I

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