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:
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Health care specialties

SpecialtyCodeLicense #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 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 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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