Glade, George H.

Glade, George H. is an sole proprietor health care provider with primary practice located at 1800 Westlake Ave N Ste 303 , Seattle WA 98109-2782. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Glade, George H. can be contacted via phone (206) 938-9580.

Contact Information

Primary practice address
1800 Westlake Ave N Ste 303 Seattle WA 98109-2782
Phone: (206) 938-9580
Fax: (206) 938-1173
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN00114137 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP30004465 Washington
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP30004465 Washington

Profile Details

NPI number 1407808074
LBN Legal business name Glade, George H.
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2006
Last updated Jun 6th, 2013 - about 13 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 1407808074 NPPES
Washington Other 94133U REGENCE BLUE SHIELD PIN
Washington MEDICAID 9622705 REGENCE BLUE SHIELD PIN

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