Gantt, Soren M
Gantt, Soren M is an individual health care provider with primary practice located at 4800 Sand Point Way Ne , Seattle WA 98105-3901. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases is his primary health care specialty. Gantt, Soren M can be contacted via phone (206) 987-1909.Contact Information
Primary practice address
4800 Sand Point Way Ne
Seattle WA 98105-3901
Phone: (206) 987-1909
Fax: (206) 987-3890
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD00043059 | Washington |
| Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases | 2080P0208X | MD00043059 | Washington |
Profile Details
| NPI number | 1083661631 |
|---|---|
| LBN Legal business name | Gantt, Soren M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 28th, 2006 |
| Last updated | May 14th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083661631 | NPPES |
| Washington | MEDICAID | 8452617 | |
| Washington | MEDICAID | 807507400 |
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