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Contact Information

WA-SPOK MEDICAL CARE LLC
801 W FIFTH AVE
SUITE 422
SPOKANE, WA99204-2841
 Phone: 509-473-7250
 Fax: 509-473-3033
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Hospice and Palliative Medicine

2084H0002X 17 Physician/Hospice and Palliative Care
 

Neurological Surgery

207T00000X 02 Physician/General Surgery
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for WA SPOK MEDICAL CARE LLC · (Female)

NPI Number 1649420019
Status Active
Credentials
Entity Individual
Enumeration date 09/23/2008
Last updated 02/01/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • WA Medicaid 7144553
  • WA Other 0242178 DEPT L&I
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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