Nam, Charles

Nam, Charles is an individual health care provider with primary practice located at 1701 3Rd St Se 300, Puyallup WA 98372-4511. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Nam, Charles can be contacted via phone (253) 697-5767.

Contact Information

Primary practice address
1701 3Rd St Se 300 Puyallup WA 98372-4511
Phone: (253) 697-5767
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00032978 Washington

Profile Details

NPI number 1588611313
LBN Legal business name Nam, Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Nov 3rd, 2011 - about 14 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 1588611313 NPPES
Washington Other 98371B002 TRICARE PROVIDER NUMBER
Washington Other NA7328 TRICARE PROVIDER NUMBER
Washington Other 0116426 TRICARE PROVIDER NUMBER
Washington MEDICAID 8178923 TRICARE PROVIDER NUMBER
Washington Other 5495135 TRICARE PROVIDER NUMBER
Washington Other 91120349412 TRICARE PROVIDER NUMBER

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