Morris Ward, Bryan Clark
Morris Ward, Bryan Clark is an individual health care provider with primary practice located at 700 Lilly Rd Ne , Olympia WA 98506-5115. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Morris Ward, Bryan Clark can be contacted via phone (360) 923-7000.Contact Information
Primary practice address
700 Lilly Rd Ne
Olympia WA 98506-5115
Phone: (360) 923-7000
Fax: (360) 923-7089
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00028839 | Washington |
Profile Details
NPI number | 1184687253 |
---|---|
LBN Legal business name | Morris Ward, Bryan Clark |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 10th, 2006 |
Last updated | Dec 1st, 2021 - about 3 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 | 1184687253 | NPPES |
Washington | Other | 0156133 | LABOR AND INDUSTRY INSURA |
Washington | Other | 080182243 | LABOR AND INDUSTRY INSURA |
Washington | MEDICAID | 1112853 | LABOR AND INDUSTRY INSURA |
Washington | Other | 8811MO | LABOR AND INDUSTRY INSURA |
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