Oldenkamp, Susan
Oldenkamp, Susan is an sole proprietor health care provider with primary practice located at 12811 8Th Ave W Suite D-109, Everett WA 98204-6335. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Oldenkamp, Susan can be contacted via phone (425) 743-7888.Contact Information
Primary practice address
12811 8Th Ave W Suite D-109
Everett WA 98204-6335
Phone: (425) 743-7888
Fax: (425) 355-3055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD00023394 | Washington |
Profile Details
| NPI number | 1275669459 |
|---|---|
| LBN Legal business name | Oldenkamp, Susan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 24th, 2007 |
| Last updated | Jun 3rd, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275669459 | NPPES |
| Washington | Other | 91-1504734 | TAX ID |
| Washington | MEDICAID | 1011832 | TAX ID |
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