Moore, Judson Ramsay
Moore, Judson Ramsay is an individual health care provider with primary practice located at 3015 Squalicum Pkwy Suite 200, Bellingham WA 98225-1945. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Moore, Judson Ramsay can be contacted via phone (360) 733-2092.Contact Information
Primary practice address
3015 Squalicum Pkwy Suite 200
Bellingham WA 98225-1945
Phone: (360) 733-2092
Fax: (360) 733-4013
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA60056503 | Washington |
Profile Details
NPI number | 1871773028 |
---|---|
LBN Legal business name | Moore, Judson Ramsay |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 5th, 2007 |
Last updated | Nov 19th, 2010 - about 15 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 | 1871773028 | NPPES |
Washington | Other | 6811MO | REGENCE |
Washington | MEDICAID | 1871773028 | REGENCE |
Washington | Other | 0243488 | REGENCE |
Washington | Other | 9320439 | REGENCE |
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