Luetkehans, Thomas James

Luetkehans, Thomas James is an individual health care provider with primary practice located at 3417 Ensign Rd Ne , Olympia WA 98506-5075. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Luetkehans, Thomas James can be contacted via phone (360) 493-4609.

Contact Information

Primary practice address
3417 Ensign Rd Ne Olympia WA 98506-5075
Phone: (360) 493-4609
Fax: (360) 493-4603
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD00029619 Washington
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD00029619 Washington

Profile Details

NPI number 1821089160
LBN Legal business name Luetkehans, Thomas James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Oct 8th, 2020 - about 4 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 1821089160 NPPES
Washington Other 078229 L&I-SOUTH SOUND RADIOLOGY
Washington MEDICAID 8137457 L&I-SOUTH SOUND RADIOLOGY
Washington MEDICAID 1045797 L&I-SOUTH SOUND RADIOLOGY
Washington Other 0384820 L&I-SOUTH SOUND RADIOLOGY

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