Lasalle, Andre J

Lasalle, Andre J is an individual health care provider with primary practice located at 910 W 5Th Ave Suite 800, Spokane WA 99204-2966. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Lasalle, Andre J can be contacted via phone (509) 838-2531.

Contact Information

Primary practice address
910 W 5Th Ave Suite 800 Spokane WA 99204-2966
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD00020729 Washington

Profile Details

NPI number 1720070576
LBN Legal business name Lasalle, Andre J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Jun 13th, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720070576 NPPES
Washington MEDICAID 8547200

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