Moorhead, Dudley T
Moorhead, Dudley T is an individual health care provider with primary practice located at 1135 116Th Ave Ne Ste 220 , Bellevue WA 98004-4623. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Moorhead, Dudley T can be contacted via phone (425) 450-7007.Contact Information
Primary practice address
1135 116Th Ave Ne Ste 220
Bellevue WA 98004-4623
Phone: (425) 450-7007
Fax: (425) 450-0026
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | MD00016496 | Washington |
Profile Details
| NPI number | 1306864673 |
|---|---|
| LBN Legal business name | Moorhead, Dudley T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Nov 29th, 2007 - about 19 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 | 1306864673 | NPPES |
| Washington | MEDICAID | 1371004 |
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