Provider Demographics
NPI:1801862560
Name:BESICH-CARTER, JANE E
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:E
Last Name:BESICH-CARTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JANE
Other - Middle Name:E
Other - Last Name:BESICH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:9906 100TH ST SW
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98498-3106
Mailing Address - Country:US
Mailing Address - Phone:253-968-1213
Mailing Address - Fax:253-968-0911
Practice Address - Street 1:MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98431-0001
Practice Address - Country:US
Practice Address - Phone:253-968-1213
Practice Address - Fax:253-968-0911
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH000178791835N0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835N0905XPharmacy Service ProvidersPharmacistNuclear