Cortese, David Anthony Thiede
Cortese, David Anthony Thiede is an individual health care provider with primary practice located at 2820 Griffin Ave Ste 210 , Enumclaw WA 98022-2373. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Cortese, David Anthony Thiede can be contacted via phone (360) 825-7500.Contact Information
Primary practice address
2820 Griffin Ave Ste 210
Enumclaw WA 98022-2373
Phone: (360) 825-7500
Fax: (360) 825-3370
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD00046514 | Washington |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | A91046 | California |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | MD00046514 | Washington |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | MD26886 | Oregon |
Profile Details
| NPI number | 1710098660 |
|---|---|
| LBN Legal business name | Cortese, David Anthony Thiede |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 21st, 2022 - about 2 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 | 1710098660 | NPPES |
| Washington | MEDICAID | 1045353 |
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