Betteridge, Loren B
Betteridge, Loren B is an individual health care provider with primary practice located at 3733 S Thompson Ave , Tacoma WA 98418-5013. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Betteridge, Loren B can be contacted via phone (253) 472-4473.Contact Information
Primary practice address
3733 S Thompson Ave
Tacoma WA 98418-5013
Phone: (253) 472-4473
Fax: (253) 474-3056
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 28116 | Washington |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 28116 | Washington |
Profile Details
| NPI number | 1023015211 |
|---|---|
| LBN Legal business name | Betteridge, Loren B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2005 |
| Last updated | Aug 3rd, 2007 - about 19 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 | 1023015211 | NPPES |
| Washington | MEDICAID | 1065390 |
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