De Haan, Michael

De Haan, Michael is an individual health care provider with primary practice located at 16251 Sylvester Rd Sw , Burien WA 98166-3017. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. De Haan, Michael can be contacted via phone (206) 244-1212.

Contact Information

Primary practice address
16251 Sylvester Rd Sw Burien WA 98166-3017
Fax: (206) 244-1223
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD00025426 Washington

Profile Details

NPI number 1124009055
LBN Legal business name De Haan, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Mar 26th, 2015 - about 11 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 1124009055 NPPES
Washington Other 0165305 DEPT OF LABOR & INDUSTRIE
Washington MEDICAID 1053479 DEPT OF LABOR & INDUSTRIE
Washington Other 5628DE DEPT OF LABOR & INDUSTRIE
Washington Other 8934230 DEPT OF LABOR & INDUSTRIE

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