Nooney, Robert R

Nooney, Robert R is an sole proprietor health care provider with primary practice located at 404 Yauger Way Sw Suite 150, Olympia WA 98502-8660. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Nooney, Robert R can be contacted via phone (360) 754-2300.

Contact Information

Primary practice address
404 Yauger Way Sw Suite 150 Olympia WA 98502-8660
Phone: (360) 754-2300
Fax: (360) 754-1044
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OPO00001277 Washington
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X OPO00001277 Washington

Profile Details

NPI number 1558389544
LBN Legal business name Nooney, Robert R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Dec 3rd, 2015 - about 9 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 1558389544 NPPES
Washington Other 262210405 TAX ID
Washington Other 7492 TAX ID
Washington Other 48546 TAX ID
Washington Other NO1029 TAX ID
Washington MEDICAID 1083021 TAX ID
Washington Other 424713001 TAX ID

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