Andrews, Mark
Andrews, Mark is an sole proprietor health care provider with primary practice located at 4901 108Th St Sw , Lakewood WA 98499-3724. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Andrews, Mark can be contacted via phone (253) 589-6484.Contact Information
Primary practice address
4901 108Th St Sw
Lakewood WA 98499-3724
Phone: (253) 589-6484
Fax: (253) 984-1079
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP30005885 | Washington |
Profile Details
| NPI number | 1508823683 |
|---|---|
| LBN Legal business name | Andrews, Mark |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 1st, 2006 |
| Last updated | Mar 17th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508823683 | NPPES |
| Washington | MEDICAID | 9649211 | |
| Washington | Other | P00353626 | |
| Washington | Other | 0208983 |
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