Koopman, Allen W.
Koopman, Allen W. 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 Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Koopman, Allen W. can be contacted via phone (206) 598-4260.Contact Information
Primary practice address
1959 Ne Pacific St
Seattle WA 98195-0001
Phone: (206) 598-4260
Fax: (206) 598-8812
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | RN00076704 | Washington |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | AP30004362 | Washington |
Profile Details
NPI number | 1104889757 |
---|---|
LBN Legal business name | Koopman, Allen W. |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 6th, 2006 |
Last updated | Oct 10th, 2007 - about 17 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 | 1104889757 | NPPES |
Washington | Other | 0170854 | LABOR & INDUSTRY |
Washington | Other | 59088U | LABOR & INDUSTRY |
Washington | Other | 8937912 | LABOR & INDUSTRY |
Washington | MEDICAID | 9636648 | LABOR & INDUSTRY |
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