Fossum, Marion Arthur
Fossum, Marion Arthur is an individual health care provider with primary practice located at 1717 S Ritchey Rd , Medical Lake WA 99022-8792. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Fossum, Marion Arthur can be contacted via phone (509) 590-8766.Contact Information
Primary practice address
1717 S Ritchey Rd
Medical Lake WA 99022-8792
Phone: (509) 590-8766
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 61254901 | Washington |
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 2024-00610 | North Carolina |
Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 61254901 | Washington |
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 2024012104 | Missouri |
Profile Details
NPI number | 1356875736 |
---|---|
LBN Legal business name | Fossum, Marion Arthur |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 12th, 2017 |
Last updated | Jul 12th, 2024 - about 4 months 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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