Andersen, Clare Zeno
Andersen, Clare Zeno is an individual health care provider with primary practice located at 222 15Th Ave Se , Puyallup WA 98372-3754. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Andersen, Clare Zeno can be contacted via phone (253) 841-4353.Contact Information
Primary practice address
222 15Th Ave Se
Puyallup WA 98372-3754
Phone: (253) 841-4353
Fax: (253) 581-5698
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD00021933 | Washington |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | MD00021933 | Washington |
Profile Details
| NPI number | 1154385292 |
|---|---|
| LBN Legal business name | Andersen, Clare Zeno |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2006 |
| Last updated | Oct 28th, 2016 - about 8 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 | 1154385292 | NPPES |
| Washington | Other | 73227 | L&I |
| Washington | MEDICAID | 8615601 | L&I |
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