Fankhauser, Bradley K

Fankhauser, Bradley K is an individual health care provider with primary practice located at 4410 106Th St Sw , Mukilteo WA 98275-4700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fankhauser, Bradley K can be contacted via phone (425) 493-6001.

Contact Information

Primary practice address
4410 106Th St Sw Mukilteo WA 98275-4700
Phone: (425) 493-6001
Fax: (425) 493-6030
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD60221736 Washington

Profile Details

NPI number 1922269489
LBN Legal business name Fankhauser, Bradley K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2008
Last updated Nov 17th, 2016 - about 10 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 1922269489 NPPES
Washington Other MD60221736 LICENSE
Washington MEDICAID 2014376 LICENSE

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