Ingram, Michael A

Ingram, Michael A is an individual health care provider with primary practice located at 1321 Colby Ave , Everett WA 98201-1665. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Ingram, Michael A can be contacted via phone (425) 261-2000.

Contact Information

Primary practice address
1321 Colby Ave Everett WA 98201-1665
Phone: (425) 261-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X MD00021544 Washington

Profile Details

NPI number 1205888328
LBN Legal business name Ingram, Michael A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jul 8th, 2007 - about 18 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 1205888328 NPPES
Washington MEDICAID 8318628

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