Biritwum, Madonna A.

Biritwum, Madonna A. is an individual health care provider with primary practice located at 1400 E Kincaid St , Mount Vernon WA 98274-4127. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Biritwum, Madonna A. can be contacted via phone (360) 848-4150.

Contact Information

Primary practice address
1400 E Kincaid St Mount Vernon WA 98274-4127
Phone: (360) 848-4150
Fax: (360) 848-4169
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 01070155A Indiana
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X MD60748436 Washington

Profile Details

NPI number 1295975779
LBN Legal business name Biritwum, Madonna A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2009
Last updated Oct 25th, 2021 - about 3 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 1295975779 NPPES
Washington MEDICAID 2088459

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