Babcock, Marty R.

Babcock, Marty R. is an individual health care provider with primary practice located at 1200 12Th Ave S , Seattle WA 98144-2712. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Babcock, Marty R. can be contacted via phone (205) 326-2400.

Contact Information

Primary practice address
1200 12Th Ave S Seattle WA 98144-2712
Phone: (205) 326-2400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X AP30000744 Washington

Profile Details

NPI number 1003804055
LBN Legal business name Babcock, Marty R.
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Jul 8th, 2007 - about 17 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 1003804055 NPPES
Washington MEDICAID 8642001

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