Marsidi, Ignatius
Marsidi, Ignatius is an individual health care provider with primary practice located at 4225 Hoyt Ave Suite A, Everett WA 98203-2351. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Marsidi, Ignatius can be contacted via phone (425) 259-3122.Contact Information
Primary practice address
4225 Hoyt Ave Suite A
Everett WA 98203-2351
Phone: (425) 259-3122
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD00018148 | Washington |
Profile Details
NPI number | 1396792149 |
---|---|
LBN Legal business name | Marsidi, Ignatius |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 27th, 2006 |
Last updated | Jan 13th, 2008 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1396792149 | NPPES |
Washington | Other | MD00018148 | STATE LICENSE NUMBER |
Washington | MEDICAID | 1640101 | STATE LICENSE NUMBER |
Washington | Other | 0050071 | STATE LICENSE NUMBER |
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