Liddell, Robert Michael

Liddell, Robert Michael is an individual health care provider with primary practice located at 1310 116Th Ave Ne Suite E, Bellevue WA 98004-3817. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Liddell, Robert Michael can be contacted via phone (425) 250-1145.

Contact Information

Primary practice address
1310 116Th Ave Ne Suite E Bellevue WA 98004-3817
Fax: (425) 823-6028
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD00023245 Washington

Profile Details

NPI number 1487676946
LBN Legal business name Liddell, Robert Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Mar 13th, 2012 - about 12 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 1487676946 NPPES
Washington MEDICAID 8114597

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