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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154385292 NPPES
Washington Other 73227 L&I
Washington MEDICAID 8615601 L&I

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