Ambachew, Taddele S.

Ambachew, Taddele S. is an individual health care provider with primary practice located at 325 9Th Ave , Seattle WA 98104-2420. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Ambachew, Taddele S. can be contacted via phone (206) 744-5867.

Contact Information

Primary practice address
325 9Th Ave Seattle WA 98104-2420
Phone: (206) 744-5867
Fax: (206) 744-8245
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA10004996 Washington
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10004996 Washington

Profile Details

NPI number 1992738512
LBN Legal business name Ambachew, Taddele S.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2006
Last updated Jun 3rd, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992738512 NPPES
Washington Other 0210978 L&I PIN
Washington Other 21642U L&I PIN
Washington MEDICAID 8457970 L&I PIN

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