Kellogg, Will

Kellogg, Will is an sole proprietor health care provider with primary practice located at 1901 S Union Ave , Tacoma WA 98405-1702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Kellogg, Will can be contacted via phone (360) 337-7880.

Contact Information

Primary practice address
1901 S Union Ave Tacoma WA 98405-1702
Fax: (360) 337-7881
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD00034368 Washington

Profile Details

NPI number 1578509444
LBN Legal business name Kellogg, Will
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2006
Last updated Nov 19th, 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 1578509444 NPPES
Washington Other 0127354 LABOR& INDUSTRIES
Washington MEDICAID 1107614 LABOR& INDUSTRIES
Washington Other 8935812 LABOR& INDUSTRIES
Washington Other KE5497 LABOR& INDUSTRIES

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