Felt, Thatcher Thomas Harlan

Felt, Thatcher Thomas Harlan is an individual health care provider with primary practice located at 1000 Wallace Way , Grandview WA 98930-8805. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Felt, Thatcher Thomas Harlan can be contacted via phone (509) 882-3444.

Contact Information

Primary practice address
1000 Wallace Way Grandview WA 98930-8805
Phone: (509) 882-3444
Fax: (509) 882-1097
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X OP00002003 Washington

Profile Details

NPI number 1093713059
LBN Legal business name Felt, Thatcher Thomas Harlan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Mar 17th, 2021 - about 4 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 1093713059 NPPES
Washington MEDICAID 8437725
Washington Other 911019392
Washington Other 8437725

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