Killoran, Sean M
Killoran, Sean M is an individual health care provider with primary practice located at 4301 S Pine St Ste 301, Tacoma WA 98409-7264. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Killoran, Sean M can be contacted via phone (253) 476-6500.Contact Information
Primary practice address
4301 S Pine St Ste 301
Tacoma WA 98409-7264
Phone: (253) 476-6500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | MD00011465 | Washington |
Profile Details
| NPI number | 1093857724 |
|---|---|
| LBN Legal business name | Killoran, Sean M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 12th, 2007 |
| Last updated | Mar 10th, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093857724 | NPPES |
| Washington | MEDICAID | 1056225 |
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