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Contact Information

JAKE R CHASTAIN
374 RAINBOW DR
SEDRO-WOOLLEY, WA98284-9587
 Phone: 425-327-3396
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medical Technician, Basic

146N00000X
Indicates primary specialty

NPI Profile & details for JAKE R CHASTAIN · (Male)

NPI Number 1043753486
Status Active
Credentials
Entity Individual
Enumeration date 12/01/2016
Last updated 12/01/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • WA License # ES. 60623189
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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