Gladstone, Laura J

Gladstone, Laura J is an individual health care provider with primary practice located at 1145 Broadway , Seattle WA 98122-4201. She recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as her primary health care specialty. Gladstone, Laura J can be contacted via phone (206) 329-1760.

Contact Information

Primary practice address
1145 Broadway Seattle WA 98122-4201
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X MD00044898 Washington

Profile Details

NPI number 1538155676
LBN Legal business name Gladstone, Laura J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Mar 8th, 2010 - about 14 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 1538155676 NPPES
Washington MEDICAID 8431876

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