Pendergrass, Thomas W
Pendergrass, Thomas W is an individual health care provider with primary practice located at 4800 Sand Point Way Ne , Seattle WA 98105. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology is his primary health care specialty. Pendergrass, Thomas W can be contacted via phone (206) 987-2106.Contact Information
Primary practice address
4800 Sand Point Way Ne
Seattle WA 98105
Phone: (206) 987-2106
Fax: (206) 987-5105
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD00014612 | Washington |
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | MD00014612 | Washington |
Profile Details
| NPI number | 1124109483 |
|---|---|
| LBN Legal business name | Pendergrass, Thomas W |
| Credentials | M.D., M.S.P.H. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Jun 18th, 2018 - about 8 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 | 1124109483 | NPPES |
| Other | 0826 | INTERNAL ID-MOTOR VEHICLE ID | |
| MEDICAID | 8362105 | INTERNAL ID-MOTOR VEHICLE ID |
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