Layton, Mark Walter

Layton, Mark Walter is an individual health care provider with primary practice located at 1212 Harrison Ave Nw , Olympia WA 98502-5466. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Layton, Mark Walter can be contacted via phone (360) 754-6700.

Contact Information

Primary practice address
1212 Harrison Ave Nw Olympia WA 98502-5466
Fax: (360) 754-0164
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X MD00024518 Washington

Profile Details

NPI number 1891846077
LBN Legal business name Layton, Mark Walter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2007
Last updated Jul 9th, 2007 - about 18 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 1891846077 NPPES
Washington Other 12371 L&I NUMBER
Washington MEDICAID 1027689 L&I NUMBER

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