Anderson, Timothy Scott

Anderson, Timothy Scott is an individual health care provider with primary practice located at 18208 66Th Ave Ne Suite 200, Kenmore WA 98028-7949. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Anderson, Timothy Scott can be contacted via phone (425) 485-6561.

Contact Information

Primary practice address
18208 66Th Ave Ne Suite 200 Kenmore WA 98028-7949
Phone: (425) 485-6561
Fax: (425) 488-4939
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OP00000868 Washington

Profile Details

NPI number 1710969357
LBN Legal business name Anderson, Timothy Scott
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Feb 16th, 2011 - 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 1710969357 NPPES
Washington MEDICAID 8150070
Washington Other AN6337
Washington Other 104369
Washington Other 080076923

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