Burner, Tim Gene

Burner, Tim Gene is an individual health care provider with primary practice located at Woodinville Towne Center 17638 140Th Ave Ne, Woodinville WA 98072. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Burner, Tim Gene can be contacted via phone (425) 485-4100.

Contact Information

Primary practice address
Woodinville Towne Center 17638 140Th Ave Ne Woodinville WA 98072
Phone: (425) 485-4100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00025590 Washington

Profile Details

NPI number 1861572844
LBN Legal business name Burner, Tim Gene
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Aug 21st, 2012 - about 12 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 1861572844 NPPES
Washington Other 0141148 L&I
Washington Other 7179 L&I
Washington MEDICAID 1861572844 L&I

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