Edstam, James S

Edstam, James S is an individual health care provider with primary practice located at 700 Lilly Rd Ne , Olympia WA 98506-5115. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Edstam, James S can be contacted via phone (360) 923-7000.

Contact Information

Primary practice address
700 Lilly Rd Ne Olympia WA 98506-5115
Phone: (360) 923-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00016013 Washington
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X MD00016013 Washington

Profile Details

NPI number 1518022060
LBN Legal business name Edstam, James S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2006
Last updated May 8th, 2008 - about 16 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 1518022060 NPPES
Washington MEDICAID 1611607

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