Bezruchka, Stephen

Bezruchka, Stephen is an individual health care provider with primary practice located at 200 15Th Ave E , Seattle WA 98112-5260. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Bezruchka, Stephen can be contacted via phone (206) 326-3223.

Contact Information

Primary practice address
200 15Th Ave E Seattle WA 98112-5260
Phone: (206) 326-3223
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD00016265 Washington
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X MD00016265 Washington

Profile Details

NPI number 1992825640
LBN Legal business name Bezruchka, Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Jul 23rd, 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 1992825640 NPPES
Washington MEDICAID 8287500

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