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NPI Code Detail

MEDICARE: BENJAMIN J. JAHN LMP

MEDICARE:   BENJAMIN J. JAHN  LMP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage TherapistMA00016553WA

General Provider Information

NPI Number : 1366451536
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN J. JAHN LMP
Provider Business Mailing Address
First Line : 1000 6TH AVE N LOWR
Second Line :
City : SEATTLE
State : WA
Zip : 98109-3811
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1000 6TH AVE N LOWR
Second Line :
City : SEATTLE
State : WA
Zip : 98109-3811
Country : US
Telephone Number : 206-898-0105
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2006
Last Update Date : 07/08/2007

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Directions to “ BENJAMIN J. JAHN LMP” Practice Location

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