Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BENJAMIN WELLS JADERHOLM, D.O.
ActiveDR. BENJAMIN WELLS JADERHOLM, D.O. is a Family Medicine healthcare provider located in LIBERTY LAKE, Washington. NPI 1093128027 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · LIBERTY LAKE, WA
Registration Details
- NPI Number
- 1093128027
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 6, 2014 (12.186649230198 yrs)
- Last Updated
- Apr 27, 2018
- Licenses
-
58.007627 (OH)OP60804314 (WA)
Practice Information
- Address
-
1326 N STANFORD LNLIBERTY LAKE, WA, 990195034Browse WA providers · Browse ZIP 99019
- Phone
- 5098382531
- Fax
- 5097556580
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in LIBERTY LAKE, WA
| Name | Credential | NPI |
|---|---|---|
| ALLEN R SEELY | MD | 1437142585 |
| JARED WILLIAM NELSON | MD | 1528034980 |
| STEPHEN E LLOYD-DAVIES | MD | 1093772568 |
| DR. SUSAN L. ASHLEY | MD | 1821188640 |
| DROSTAN GREGG BAKER | MD | 1467689166 |
| KEENAN ANTHONY MILONAS | MD | 1629364963 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.