Atkinson, Stephen G

Atkinson, Stephen G is an individual health care provider with primary practice located at 1427 Jefferson Ave Suite 203, Enumclaw WA 98022-3649. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Atkinson, Stephen G can be contacted via phone (360) 825-2701.

Contact Information

Primary practice address
1427 Jefferson Ave Suite 203 Enumclaw WA 98022-3649
Phone: (360) 825-2701
Fax: (360) 825-5724
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD00039844 Washington
Allopathic & Osteopathic Physicians / Surgery 208600000X MD00039844 Washington

Profile Details

NPI number 1568513703
LBN Legal business name Atkinson, Stephen G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2007
Last updated Jun 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568513703 NPPES
Washington MEDICAID 7109788
Washington Other 0155711
Washington Other 0155712
Washington MEDICAID 1113398
Washington Other 5197AT

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