Despreaux, Michele A
Despreaux, Michele A is an individual health care provider with primary practice located at 4033 Talbot Rd S Ste 570 , Renton WA 98055-5700. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Despreaux, Michele A can be contacted via phone (425) 690-3489.Contact Information
Primary practice address
4033 Talbot Rd S Ste 570
Renton WA 98055-5700
Phone: (425) 690-3489
Fax: (425) 690-9089
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD00033813 | Washington |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD00033813 | Washington |
Profile Details
| NPI number | 1346326147 |
|---|---|
| LBN Legal business name | Despreaux, Michele A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2006 |
| Last updated | Mar 26th, 2020 - about 5 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 | 1346326147 | NPPES |
| Washington | Other | G8964245 | MEDICARE W VALLEY MEDICAL GROUP - RENTON |
| Washington | MEDICAID | 1346326147 | MEDICARE W VALLEY MEDICAL GROUP - RENTON |
| Washington | Other | 0141160 | MEDICARE W VALLEY MEDICAL GROUP - RENTON |
| Washington | Other | 4794 | MEDICARE W VALLEY MEDICAL GROUP - RENTON |
| Washington | MEDICAID | 1008278 | MEDICARE W VALLEY MEDICAL GROUP - RENTON |
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