Odderson, Ib Rask

Odderson, Ib Rask is an individual health care provider with primary practice located at 1035 116Th Ave Ne , Bellevue WA 98004-4604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Odderson, Ib Rask can be contacted via phone (425) 688-5000.

Contact Information

Primary practice address
1035 116Th Ave Ne Bellevue WA 98004-4604
Phone: (425) 688-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MD00024439 Washington

Profile Details

NPI number 1194800912
LBN Legal business name Odderson, Ib Rask
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Sep 6th, 2012 - about 13 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 1194800912 NPPES
Other 6939 INTERNAL ID-MOTOR VEHICLE ID
MEDICAID 1194800912 INTERNAL ID-MOTOR VEHICLE ID
Other 0231662 INTERNAL ID-MOTOR VEHICLE ID

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