Ferris, Brian L

Ferris, Brian L is an individual health care provider with primary practice located at 1135 116Th Ave Ne Suite 305, Bellevue WA 98004-4623. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Ferris, Brian L can be contacted via phone (425) 453-1772.

Contact Information

Primary practice address
1135 116Th Ave Ne Suite 305 Bellevue WA 98004-4623
Fax: (425) 453-0603
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD00041963 Washington
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD00041963 Washington

Profile Details

NPI number 1104859081
LBN Legal business name Ferris, Brian L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Mar 3rd, 2015 - about 9 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 1104859081 NPPES
Washington MEDICAID 8358657
Washington Other P00033640

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