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Dr. Benjamin Wells Jaderholm, DO
Family Medicine Physician in Liberty Lake, Washington
NPI 1093128027

Benjamin Wells Jaderholm is a Family Medicine Physician based in Spokane, WA. Benjamin Wells Jaderholm practices in Liberty Lake, WA and has the professional credentials of DO. The NPI Number for Benjamin Wells Jaderholm is 1093128027 and holds a License No. 58.007627 (Washington).

The current practice location address for Benjamin Wells Jaderholm is 1326 N Stanford Ln, Liberty Lake, WA and can be reached out via phone at 509-838-2531 and via fax at 509-755-6580.

Location: 1326 N Stanford Ln, Liberty Lake, WA, 99220-3649
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093128027
Provider Name
Benjamin Wells Jaderholm
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1326 N Stanford Ln, Liberty Lake, WA, 99220-3649
Phone Number
509-838-2531
Fax Number
509-755-6580
Provider Enumeration Date
06/06/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0159060 05 OH
institution
Provider Business Practice Location Address Details
Address
1326 N Stanford Ln
City
Liberty Lake
State
Washington
Zip
99019-5034
Phone Number
509-838-2531
Fax Number
509-755-6580
person
Provider Business Mailing Address Details
Address
1326 N Stanford Ln
City
Liberty Lake
State
Washington
Zip
99019-5034
Phone Number
509-838-2531
Fax Number
509-755-6580
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
OP60804314 (Washington)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
58.007627 (Ohio)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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