Avery, Marc D
Avery, Marc D is an individual health care provider with primary practice located at 1959 Ne Pacific St Box 356560, Seattle WA 98195-6560. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Avery, Marc D can be contacted via phone (206) 685-1819.Contact Information
Primary practice address
1959 Ne Pacific St Box 356560
Seattle WA 98195-6560
Phone: (206) 685-1819
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD00030730 | Washington |
Profile Details
| NPI number | 1235352329 |
|---|---|
| LBN Legal business name | Avery, Marc D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2007 |
| Last updated | Jul 13th, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235352329 | NPPES |
| Washington | MEDICAID | 1235352329 |
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