Wurst, Tod Evans
Wurst, Tod Evans is an individual health care provider with primary practice located at 1304 Fawcett Ave Suite 100, Tacoma WA 98402-1911. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Wurst, Tod Evans can be contacted via phone (253) 761-4200.Contact Information
Primary practice address
1304 Fawcett Ave Suite 100
Tacoma WA 98402-1911
Phone: (253) 761-4200
Fax: (253) 383-3553
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 00029780 | Washington |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD00029780 | Washington |
Profile Details
| NPI number | 1891868535 |
|---|---|
| LBN Legal business name | Wurst, Tod Evans |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2006 |
| Last updated | Sep 3rd, 2024 - about 2 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 | 1891868535 | NPPES |
| Washington | Other | 81554 | LABOR AND INDUSTRIES/WC TRA |
| Washington | Other | 8944812 | LABOR AND INDUSTRIES/WC TRA |
| Washington | Other | G8881792 | LABOR AND INDUSTRIES/WC TRA |
| Washington | Other | 8945541 | LABOR AND INDUSTRIES/WC TRA |
| Washington | Other | AB36540 | LABOR AND INDUSTRIES/WC TRA |
| Washington | Other | 0249543 | LABOR AND INDUSTRIES/WC TRA |
| Washington | MEDICAID | 8140253 | LABOR AND INDUSTRIES/WC TRA |
| Washington | Other | WU0000 | LABOR AND INDUSTRIES/WC TRA |
| Washington | Other | 8951861 | LABOR AND INDUSTRIES/WC TRA |
| Washington | Other | 300024506 | LABOR AND INDUSTRIES/WC TRA |
| Washington | Other | 0260001 | LABOR AND INDUSTRIES/WC TRA |
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