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Contact Information

JOHNETTE B MAEHREN, DO
1717 SOUTH J. STREET
TACOMA, WA98405
 Phone: 253-426-6076
 Fax: 253-426-6954
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for JOHNETTE B MAEHREN · (Female)

NPI Number 1740390582
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/30/2006
Last updated 11/15/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # OP00001459
  • WA Medicaid 8160764
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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