Bartlett, Michael Lee
Bartlett, Michael Lee is an individual health care provider with primary practice located at 1615 Delaware St , Longview WA 98632-2310. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bartlett, Michael Lee can be contacted via phone (360) 414-2385.Contact Information
Primary practice address
1615 Delaware St
Longview WA 98632-2310
Phone: (360) 414-2385
Fax: (360) 414-2386
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00036071 | Washington |
Profile Details
NPI number | 1356348502 |
---|---|
LBN Legal business name | Bartlett, Michael Lee |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 1st, 2005 |
Last updated | Jul 9th, 2007 - about 18 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 | 1356348502 | NPPES |
Washington | Other | 124142 | LABOR & IND. |
Washington | Other | 8922099 | LABOR & IND. |
Washington | MEDICAID | 158941 | LABOR & IND. |
Washington | MEDICAID | 8230583 | LABOR & IND. |
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