Dudley, Morton D
Dudley, Morton D is an individual health care provider with primary practice located at 1229 Madison St Suite 900, Seattle WA 98104-3586. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Dudley, Morton D can be contacted via phone (206) 292-6233.Contact Information
Primary practice address
1229 Madison St Suite 900
Seattle WA 98104-3586
Phone: (206) 292-6233
Fax: (206) 292-7764
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD00021531 | Washington |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | MD00021531 | Washington |
Profile Details
NPI number | 1245273499 |
---|---|
LBN Legal business name | Dudley, Morton D |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 14th, 2006 |
Last updated | Oct 5th, 2012 - about 12 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 | 1245273499 | NPPES |
Washington | MEDICAID | 1004589 |
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