Nutter, Paul B

Nutter, Paul B is an individual health care provider with primary practice located at 401 15Th Ave Se , Puyallup WA 98372-3715. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Nutter, Paul B can be contacted via phone (253) 697-2700.

Contact Information

Primary practice address
401 15Th Ave Se Puyallup WA 98372-3715
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MD00021194 Washington

Profile Details

NPI number 1629020847
LBN Legal business name Nutter, Paul B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Mar 2nd, 2016 - 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 1629020847 NPPES
Washington MEDICAID 1130525
Washington Other 135919
Washington Other 6740NU

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