Walter, Jenny Violet
Walter, Jenny Violet is an individual health care provider with primary practice located at 2616 Kwina Rd , Bellingham WA 98226-9291. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Walter, Jenny Violet can be contacted via phone (360) 380-6945.Contact Information
Primary practice address
2616 Kwina Rd
Bellingham WA 98226-9291
Phone: (360) 380-6945
Fax: (360) 384-2350
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 10005362 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA10005362 | Washington |
Profile Details
| NPI number | 1669658993 |
|---|---|
| LBN Legal business name | Walter, Jenny Violet |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2008 |
| Last updated | Jan 27th, 2015 - about 10 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 | 1669658993 | NPPES |
| Washington | MEDICAID | 8505596 |
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