Enquist, Robert William

Enquist, Robert William is an individual health care provider with primary practice located at 9040 Jackson Ave , Tacoma WA 98431-1719. He recently has only one registered license in Other Service Providers / Military Health Care Provider, which is considered as his primary health care specialty. Enquist, Robert William can be contacted via phone (253) 581-2775.

Contact Information

Primary practice address
9040 Jackson Ave Tacoma WA 98431-1719
Fax: (253) 581-2776
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X MD00012919 Washington

Profile Details

NPI number 1194790766
LBN Legal business name Enquist, Robert William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Sep 26th, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194790766 NPPES
Washington Other 00012919 US ARMY

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