Kersten, Tycho E

Kersten, Tycho E is an individual health care provider with primary practice located at 601 W 5Th Ave Suite 400, Spokane WA 99204-2715. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Kersten, Tycho E can be contacted via phone (509) 344-2663.

Contact Information

Primary practice address
601 W 5Th Ave Suite 400 Spokane WA 99204-2715
Phone: (509) 344-2663
Fax: (509) 624-9179
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X MD00039855 Washington

Profile Details

NPI number 1568438562
LBN Legal business name Kersten, Tycho E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Aug 4th, 2011 - 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 1568438562 NPPES
Washington Other 379109600 OWCP
Washington MEDICAID 8276586 OWCP
Washington Other 22669 OWCP
Washington Other 0149631 OWCP
Washington Other 5030KE OWCP
Washington MEDICAID 806017400 OWCP
Washington Other 8928289 OWCP
Washington Other 000010135813 OWCP
Washington Other 200040948 OWCP
Washington Other KQ803 OWCP

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