Andersen, Matthew

Andersen, Matthew is an individual health care provider with primary practice located at 1100 9Th Ave , Seattle WA 98101-2756. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Andersen, Matthew can be contacted via phone (206) 223-6600.

Contact Information

Primary practice address
1100 9Th Ave Seattle WA 98101-2756
Phone: (206) 223-6600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X PA10004680 Washington

Profile Details

NPI number 1669444774
LBN Legal business name Andersen, Matthew
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Aug 28th, 2024 - about 2 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 1669444774 NPPES
Washington Other 1067AN INDIVIDUAL BLUE SHIELD
Washington MEDICAID 8409336 INDIVIDUAL BLUE SHIELD
Washington Other P00149168 INDIVIDUAL BLUE SHIELD

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