Flamoe, Michael Jon
Flamoe, Michael Jon is an individual health care provider with primary practice located at 1304 Fawcett Ave Suite 100, Tacoma WA 98402-1911. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Flamoe, Michael Jon can be contacted via phone (253) 761-4200.Contact Information
Primary practice address
1304 Fawcett Ave Suite 100
Tacoma WA 98402-1911
Phone: (253) 761-4200
Fax: (253) 383-3553
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA10002884 | Washington |
Profile Details
| NPI number | 1013983147 |
|---|---|
| LBN Legal business name | Flamoe, Michael Jon |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Feb 15th, 2022 - about 2 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 | 1013983147 | NPPES |
| Washington | Other | 0255843 | STATE L&I |
| Washington | Other | 0289885 | STATE L&I |
| Washington | Other | 0260392 | STATE L&I |
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