Bollag, Laurent Albert

Bollag, Laurent Albert is an individual health care provider with primary practice located at 1959 Ne Pacific St , Seattle WA 98195-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Bollag, Laurent Albert can be contacted via phone (206) 598-4260.

Contact Information

Primary practice address
1959 Ne Pacific St Seattle WA 98195-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X TR60019571 Washington

Profile Details

NPI number 1548419831
LBN Legal business name Bollag, Laurent Albert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2008
Last updated Apr 17th, 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 1548419831 NPPES
Washington MEDICAID 8523714

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