Provider Demographics
NPI:1518948363
Name:JONESCHILD, ELIZABETH S (MD)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:S
Last Name:JONESCHILD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 BROADWAY STE 440
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-5377
Mailing Address - Country:US
Mailing Address - Phone:206-292-6252
Mailing Address - Fax:206-292-7893
Practice Address - Street 1:600 BROADWAY STE 440
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-5377
Practice Address - Country:US
Practice Address - Phone:206-292-6252
Practice Address - Fax:206-292-7893
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD42912207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8385569Medicaid
WA8385569Medicaid
I05150Medicare UPIN