Dickerson-Young, Tavis
Dickerson-Young, Tavis is an individual health care provider with primary practice located at 4800 Sand Point Way Ne # Mb.7.520 , Seattle WA 98105-3901. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Dickerson-Young, Tavis can be contacted via phone (206) 987-2599.Contact Information
Primary practice address
4800 Sand Point Way Ne # Mb.7.520
Seattle WA 98105-3901
Phone: (206) 987-2599
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD60741027 | Washington |
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | MD60741027 | Washington |
Profile Details
| NPI number | 1689092363 |
|---|---|
| LBN Legal business name | Dickerson-Young, Tavis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2014 |
| Last updated | Aug 18th, 2021 - about 3 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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