Putaansuu, Tom A
Putaansuu, Tom A is an individual health care provider with primary practice located at 3525 Ensign Rd Ne Ste M1 , Olympia WA 98506-5065. He recently has 3 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, Other Service Providers / Specialist, Speech, Language and Hearing Service Providers / Audiologist. Speech, Language and Hearing Service Providers / Audiologist is his primary health care specialty. Putaansuu, Tom A can be contacted via phone (360) 491-9733.Contact Information
Primary practice address
3525 Ensign Rd Ne Ste M1
Olympia WA 98506-5065
Phone: (360) 491-9733
Fax: (360) 493-1943
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter | 237600000X | LD00001057 | Washington |
| Other Service Providers / Specialist | 174400000X | LD00001057 | Washington |
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | LD00001057 | Washington |
Profile Details
| NPI number | 1083711063 |
|---|---|
| LBN Legal business name | Putaansuu, Tom A |
| Credentials | Master of Education (MED) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jun 25th, 2020 - about 6 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 | 1083711063 | NPPES |
| Washington | MEDICAID | 9047473 | |
| Washington | MEDICAID | 7093891 |
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