Robertson, Paul Alexander
Robertson, Paul Alexander is an individual health care provider with primary practice located at 4525 3Rd Ave Se Ste 200, Lacey WA 98503-1010. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Robertson, Paul Alexander can be contacted via phone (360) 754-3934.Contact Information
Primary practice address
4525 3Rd Ave Se Ste 200
Lacey WA 98503-1010
Phone: (360) 754-3934
Fax: (360) 943-8023
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD00026285 | Washington |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | MD00026285 | Washington |
Profile Details
| NPI number | 1639175938 |
|---|---|
| LBN Legal business name | Robertson, Paul Alexander |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Jun 22nd, 2021 - about 4 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 | 1639175938 | NPPES |
| Washington | MEDICAID | 1150028 |
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