Komorous, James Michael

Komorous, James Michael is an individual health care provider with primary practice located at 4700 Point Fosdick Dr Nw Ste 219 , Gig Harbor WA 98335-1706. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatopathology is his primary health care specialty. Komorous, James Michael can be contacted via phone (253) 851-7733.

Contact Information

Primary practice address
4700 Point Fosdick Dr Nw Ste 219 Gig Harbor WA 98335-1706
Phone: (253) 851-7733
Fax: (253) 851-8060
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X 00015691 Washington
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD00015691 Washington

Profile Details

NPI number 1053313411
LBN Legal business name Komorous, James Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Mar 15th, 2024 - about last year

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 1053313411 NPPES
Washington MEDICAID 1001218

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