Corwin, Terry Spark
Corwin, Terry Spark is an individual health care provider with primary practice located at 4310 Colby Ave Suite 203, Everett WA 98203-2338. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Corwin, Terry Spark can be contacted via phone (425) 252-8102.Contact Information
Primary practice address
4310 Colby Ave Suite 203
Everett WA 98203-2338
Phone: (425) 252-8102
Fax: (425) 339-0835
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | MD00040591 | Washington |
Profile Details
| NPI number | 1912954744 |
|---|---|
| LBN Legal business name | Corwin, Terry Spark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2006 |
| Last updated | Sep 12th, 2018 - about 6 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 | 1912954744 | NPPES |
| Washington | Other | 340020074 | RAILROAD MEDICARE |
| Washington | Other | MD00040591 | RAILROAD MEDICARE |
| Washington | Other | 0160332 | RAILROAD MEDICARE |
| Washington | MEDICAID | 8311342 | RAILROAD MEDICARE |
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