Longfellow, Katelan Hauck

Longfellow, Katelan Hauck is an individual health care provider with primary practice located at 1959 Ne Pacific St , Seattle WA 98195-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Longfellow, Katelan Hauck can be contacted via phone (206) 543-6420.

Contact Information

Primary practice address
1959 Ne Pacific St Seattle WA 98195-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD60385036 Washington

Profile Details

NPI number 1245469279
LBN Legal business name Longfellow, Katelan Hauck
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2009
Last updated Dec 18th, 2015 - about 10 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 1245469279 NPPES
Washington MEDICAID 1245469279

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