Brodie, Carl James
Brodie, Carl James is an individual health care provider with primary practice located at 14100 Se 36Th St 105, Bellevue WA 98006-1657. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Brodie, Carl James can be contacted via phone (425) 378-0110.Contact Information
Primary practice address
14100 Se 36Th St 105
Bellevue WA 98006-1657
Phone: (425) 378-0110
Fax: (425) 378-0220
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | MD00027570 | Washington |
Profile Details
| NPI number | 1821102443 |
|---|---|
| LBN Legal business name | Brodie, Carl James |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821102443 | NPPES |
| Washington | MEDICAID | 1117969 | |
| Washington | Other | 8562BR |
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