Sussman, Allen M

Sussman, Allen M is an individual health care provider with primary practice located at 723 Sw 10Th St Ste 250, Renton WA 98055. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Sussman, Allen M can be contacted via phone (425) 656-4040.

Contact Information

Primary practice address
723 Sw 10Th St Ste 250 Renton WA 98055
Phone: (425) 656-4040
Fax: (425) 656-4046
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X MD00015978 Washington

Profile Details

NPI number 1710991237
LBN Legal business name Sussman, Allen M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Dec 10th, 2009 - about 17 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 1710991237 NPPES
Washington Other 0016607 L&I
Washington Other 110202799 L&I
Washington MEDICAID 1487800 L&I

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