Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD00027850 | WA |
N | 2080P0203X | Pediatric Critical Care Doctor | 27850 | WA |
Y | 2080P0204X | Pediatric Emergency Doctor | MD00027850 | WA |
NPI | 1184643447 |
---|---|
Provider Name | Dr. Jonathan Chalett |
First Address | Seattle, WA 98109-3209 |
Second Address | Tacoma, WA 98405-4234 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 31/03/2021 |