Zumwalt, Theresa Ann

Zumwalt, Theresa Ann is an sole proprietor health care provider with primary practice located at 14991 Sunrise Drive Ne , Bainbridge Island WA 98110. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Zumwalt, Theresa Ann can be contacted via phone (206) 842-5999.

Contact Information

Primary practice address
14991 Sunrise Drive Ne Bainbridge Island WA 98110
Phone: (206) 842-5999
Fax: (206) 780-7788
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X G54501 California
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X MD00036846 Washington

Profile Details

NPI number 1053335315
LBN Legal business name Zumwalt, Theresa Ann
Credentials MD FACOG
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2006
Last updated Feb 5th, 2013 - about 13 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 1053335315 NPPES
Washington MEDICAID 8236663

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