Teitz, Carol C

Teitz, Carol C is an individual health care provider with primary practice located at 3850 Montlake Blvd Ne Rm 148 B Arena/Hec Edmundson Pavillion, Seattle WA 98195-0001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Teitz, Carol C can be contacted via phone (206) 543-1552.

Contact Information

Primary practice address
3850 Montlake Blvd Ne Rm 148 B Arena/Hec Edmundson Pavillion Seattle WA 98195-0001
Phone: (206) 543-1552
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD00014585 Washington
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X MD00014585 Washington

Profile Details

NPI number 1851476675
LBN Legal business name Teitz, Carol C
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Sep 28th, 2011 - about 15 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 1851476675 NPPES
Washington MEDICAID 1851476675
Washington Other 0390
Washington Other 0232044

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