Nordestgaard, Aksel G

Nordestgaard, Aksel G is an individual health care provider with primary practice located at 4700 Point Fosdick Dr Nw Suite 307, Gig Harbor WA 98335-1706. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Nordestgaard, Aksel G can be contacted via phone (253) 857-8346.

Contact Information

Primary practice address
4700 Point Fosdick Dr Nw Suite 307 Gig Harbor WA 98335-1706
Fax: (253) 857-0259
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X MD00028685 Washington

Profile Details

NPI number 1083630602
LBN Legal business name Nordestgaard, Aksel G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2006
Last updated Jan 25th, 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 1083630602 NPPES
Washington MEDICAID 1067198

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