Pearson, Michael Lane
Pearson, Michael Lane is an individual health care provider with primary practice located at 12904 94Th Ave East , Puyallup WA 98373. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Pearson, Michael Lane can be contacted via phone (253) 841-3999.Contact Information
Primary practice address
12904 94Th Ave East
Puyallup WA 98373
Phone: (253) 841-3999
Fax: (253) 841-7311
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD00014726 | Washington |
Profile Details
| NPI number | 1003921701 |
|---|---|
| LBN Legal business name | Pearson, Michael Lane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Aug 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003921701 | NPPES |
| Washington | MEDICAID | 1069103 | |
| Washington | MEDICAID | 7200058 |
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