Elder, Stephen

Elder, Stephen is an individual health care provider with primary practice located at 3633 Pacific Ave Suite 204, Tacoma WA 98418-7900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Elder, Stephen can be contacted via phone (253) 274-1668.

Contact Information

Primary practice address
3633 Pacific Ave Suite 204 Tacoma WA 98418-7900
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 28065 Washington

Profile Details

NPI number 1780651299
LBN Legal business name Elder, Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Oct 25th, 2007 - about 17 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 1780651299 NPPES
Washington MEDICAID 8124315

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