Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD00046716 | WA |
Y | 2080P0204X | Pediatric Emergency Doctor | 5767239-1205 | UT |
NPI | 1144232208 |
---|---|
Provider Name | April R Jaeger |
First Address | Spokane, WA 99204-2307 |
Second Address | Spokane, WA 99204-2307 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2006 |
Last Update Date | 29/03/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8459042 | (05) | WA |
I61322 | (02) |