Myre, Laura Ellen

Myre, Laura Ellen is an individual health care provider with primary practice located at 4515 Martin Luther King Jr Way South , Seattle WA 98108-2174. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Myre, Laura Ellen can be contacted via phone (206) 320-5325.

Contact Information

Primary practice address
4515 Martin Luther King Jr Way South Seattle WA 98108-2174
Fax: (206) 320-5326
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X MD00041878 Washington

Profile Details

NPI number 1922193317
LBN Legal business name Myre, Laura Ellen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922193317 NPPES
Washington MEDICAID 8373037

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