National Provider Identifier Database

WESTERN WASHINGTON MEDICAL GROUP INC PS
Histology


Contact Information

WESTERN WASHINGTON MEDICAL GROUP, INC PS
4225 HOYT AVE STE A
EVERETT, WA98203-2351
Phone: 425-259-3122
Fax: 425-252-9860
Website:
Specialty Taxonomy Code
* Histology 246QH0600X

* Indicates primary specialty

NPI Profile & details for WESTERN WASHINGTON MEDICAL GROUP, INC PS

NPI Number 1831238443
Legal business name
LBN
WESTERN WASHINGTON MEDICAL GROUP, INC PS
Authorized official AMELIA EDENS - (DIRECTOR OF PATIENT FINANCIAL SVCS)
Entity Organization
Organization subpart Yes
Enumeration date 02/06/2007
Last updated 08/04/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • WA Medicaid: 7137474
  • WA Other: 601474013 BUSINESS LICENSE

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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