Kicska, Gregory Alexander
Kicska, Gregory Alexander is an individual health care provider with primary practice located at 1959 Ne Pacific St , Seattle WA 98195-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Body Imaging is his primary health care specialty. Kicska, Gregory Alexander can be contacted via phone (206) 598-6200.Contact Information
Primary practice address
1959 Ne Pacific St
Seattle WA 98195-0001
Phone: (206) 598-6200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | MD60079327 | Washington |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD60079327 | Washington |
Profile Details
| NPI number | 1134278138 |
|---|---|
| LBN Legal business name | Kicska, Gregory Alexander |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Dec 24th, 2012 - 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 | 1134278138 | NPPES |
| Washington | Other | 0253628 | L&I |
| Washington | MEDICAID | 1134278138 | L&I |
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