Baxter, Sean Thomas

Baxter, Sean Thomas is an individual health care provider with primary practice located at 11315 Bridgeport Way Sw , Lakewood WA 98499-3004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Baxter, Sean Thomas can be contacted via phone (253) 589-8700.

Contact Information

Primary practice address
11315 Bridgeport Way Sw Lakewood WA 98499-3004
Phone: (253) 589-8700
Fax: (253) 581-6588
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD00048134 Washington

Profile Details

NPI number 1134342413
LBN Legal business name Baxter, Sean Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2007
Last updated Apr 15th, 2021 - about 4 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 1134342413 NPPES
Washington Other 0221502 LIWA
Washington Other 4416BA LIWA
Washington Other 6689BA LIWA
Washington MEDICAID 8483562 LIWA
Washington Other 0221501 LIWA
Washington Other 0221503 LIWA
Washington Other 5449BA LIWA

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