Derrick, Ellen Lyman Thomason

Derrick, Ellen Lyman Thomason is an individual health care provider with primary practice located at 3216 Ne 45Th Pl Ste 207 , Seattle WA 98105-4028. She recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as her primary health care specialty. Derrick, Ellen Lyman Thomason can be contacted via phone (206) 596-3976.

Contact Information

Primary practice address
3216 Ne 45Th Pl Ste 207 Seattle WA 98105-4028
Phone: (206) 596-3976
Fax: (206) 486-9013
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD00045873 Washington

Profile Details

NPI number 1659480630
LBN Legal business name Derrick, Ellen Lyman Thomason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659480630 NPPES
Washington MEDICAID 1659480630

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