Kiesau, Carter David
Kiesau, Carter David is an individual health care provider with primary practice located at 3015 Squalicum Pkwy , Bellingham WA 98225-1945. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Kiesau, Carter David can be contacted via phone (360) 733-2092.Contact Information
Primary practice address
3015 Squalicum Pkwy
Bellingham WA 98225-1945
Phone: (360) 733-2092
Fax: (360) 733-4013
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 80869 | Arizona |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 2009-00916 | North Carolina |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD60125328 | Washington |
Profile Details
| NPI number | 1972703908 |
|---|---|
| LBN Legal business name | Kiesau, Carter David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2007 |
| Last updated | Nov 19th, 2010 - about 15 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 | 1972703908 | NPPES |
| Washington | MEDICAID | G8893183 | |
| Washington | Other | 0261214 | |
| Washington | Other | 0169KI | |
| Washington | MEDICAID | 1972703908 |
Popular Providers
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