Hustad, Mitchell William

Hustad, Mitchell William is an individual health care provider with primary practice located at 1801 Nw Market St Ste 207 , Seattle WA 98107-3909. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Hustad, Mitchell William can be contacted via phone (206) 320-7288.

Contact Information

Primary practice address
1801 Nw Market St Ste 207 Seattle WA 98107-3909
Phone: (206) 320-7288
Fax: (206) 320-7289
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD61190294 Washington
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X MD61190294 Washington

Profile Details

NPI number 1316407034
LBN Legal business name Hustad, Mitchell William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2019
Last updated Oct 5th, 2023 - about last year

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 1316407034 NPPES
Washington MEDICAID 2165846

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