Glade, George H.
Glade, George H. is an sole proprietor health care provider with primary practice located at 1800 Westlake Ave N Ste 303 , Seattle WA 98109-2782. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Glade, George H. can be contacted via phone (206) 938-9580.Contact Information
Primary practice address
1800 Westlake Ave N Ste 303
Seattle WA 98109-2782
Phone: (206) 938-9580
Fax: (206) 938-1173
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | RN00114137 | Washington |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP30004465 | Washington |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP30004465 | Washington |
Profile Details
NPI number | 1407808074 |
---|---|
LBN Legal business name | Glade, George H. |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 16th, 2006 |
Last updated | Jun 6th, 2013 - about 12 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 | 1407808074 | NPPES |
Washington | Other | 94133U | REGENCE BLUE SHIELD PIN |
Washington | MEDICAID | 9622705 | REGENCE BLUE SHIELD PIN |
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