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
Phone: (360) 337-7880
Fax: (360) 337-7881
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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