Komarow, Julie A
Komarow, Julie A is an individual health care provider with primary practice located at 10004 204Th Ave E #3400, Bonney Lake WA 98391-6539. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Komarow, Julie A can be contacted via phone (253) 848-5951.Contact Information
Primary practice address
10004 204Th Ave E #3400
Bonney Lake WA 98391-6539
Phone: (253) 848-5951
Fax: (253) 845-7073
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00021737 | Washington |
Profile Details
| NPI number | 1295757862 |
|---|---|
| LBN Legal business name | Komarow, Julie A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Jan 25th, 2016 - about 8 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 | 1295757862 | NPPES |
| Washington | MEDICAID | 1016963 |
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