Love, Tommy L

Love, Tommy L is an individual health care provider with primary practice located at 1740 Nw Maple St Ste 100, Issaquah WA 98027-8924. He recently has only one registered license in Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, which is considered as his primary health care specialty. Love, Tommy L can be contacted via phone (425) 313-4800.

Contact Information

Primary practice address
1740 Nw Maple St Ste 100 Issaquah WA 98027-8924
Phone: (425) 313-4800
Fax: (425) 391-1689
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 207PE0005X 4551473-1204 Utah

Profile Details

NPI number 1164491403
LBN Legal business name Love, Tommy L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Apr 22nd, 2011 - about 14 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 1164491403 NPPES
Utah MEDICAID D3487
Utah MEDICAID 1164491403

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