MEDICARE: JANE E BESICH-CARTER

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
1	1835N0905X	Nuclear Pharmacist	PH00017879	WA

General Provider Information

NPI Number	:	1801862560
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANE E BESICH-CARTER

Provider Business Mailing Address
First Line	:	9906 100TH ST SW
Second Line	:
City	:	LAKEWOOD
State	:	WA
Zip	:	98498-3106
Country	:	US
Telephone Number	:	253-968-1213
Fax Number	:	253-968-0911

Provider Business Practice Location Address
First Line	:	MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98431-0001
Country	:	US
Telephone Number	:	253-968-1213
Fax Number	:	253-968-0911

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2006
Last Update Date	:	07/01/2020

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Directions to “ JANE E BESICH-CARTER ” Practice Location

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