Younggren, Jennifer Beth

Younggren, Jennifer Beth is an individual health care provider with primary practice located at 407 14Th Ave Se , Puyallup WA 98372-3770. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Younggren, Jennifer Beth can be contacted via phone (253) 848-6661.

Contact Information

Primary practice address
407 14Th Ave Se Puyallup WA 98372-3770
Fax: (253) 770-5990
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD00041203 Washington

Profile Details

NPI number 1548205149
LBN Legal business name Younggren, Jennifer Beth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Mar 7th, 2008 - about 16 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 1548205149 NPPES
Washington MEDICAID 8378473

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