Mcdonald, Maryanne Beatrice

Mcdonald, Maryanne Beatrice is an individual health care provider with primary practice located at Madigan Army Medical Center 9040 Jackson Ave , Tacoma WA 98431-1100. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Mcdonald, Maryanne Beatrice can be contacted via phone (253) 968-4185.

Contact Information

Primary practice address
Madigan Army Medical Center 9040 Jackson Ave Tacoma WA 98431-1100
Fax: (253) 968-1188
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD00020851 Washington

Profile Details

NPI number 1568402675
LBN Legal business name Mcdonald, Maryanne Beatrice
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Apr 24th, 2019 - about 5 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 1568402675 NPPES
Washington Other 154293 L & I PROVIDER NUMBER
Washington MEDICAID 1114446 L & I PROVIDER NUMBER

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