Ince, Simone A
Ince, Simone A is an individual health care provider with primary practice located at 19917 7Th Ave Ne Ste 203, Poulsbo WA 98370-6555. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Ince, Simone A can be contacted via phone (360) 824-5474.Contact Information
Primary practice address
19917 7Th Ave Ne Ste 203
Poulsbo WA 98370-6555
Phone: (360) 824-5474
Fax: (360) 326-2451
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD00031070 | Washington |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 35784 | Colorado |
Profile Details
| NPI number | 1841327822 |
|---|---|
| LBN Legal business name | Ince, Simone A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Apr 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841327822 | NPPES |
| Washington | Other | 8884948 | MEDICARE PTAN - KING CO |
| Washington | Other | MD00116 | MEDICARE PTAN - KING CO |
| Washington | Other | G8950100 | MEDICARE PTAN - KING CO |
| Washington | Other | 009245 | MEDICARE PTAN - KING CO |
| Washington | Other | 0274668 | MEDICARE PTAN - KING CO |
| Washington | MEDICAID | 10434542 | MEDICARE PTAN - KING CO |
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