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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659480630 | NPPES |
| Washington | MEDICAID | 1659480630 |
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