Ondersma, Ross Michael

Ondersma, Ross Michael is an individual health care provider with primary practice located at 19020 33Rd Ave W Ste 210 , Lynnwood WA 98036-4748. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Ondersma, Ross Michael can be contacted via phone (425) 563-1500.

Contact Information

Primary practice address
19020 33Rd Ave W Ste 210 Lynnwood WA 98036-4748
Phone: (425) 563-1500
Fax: (425) 563-1501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X MD60292915 Washington
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01066258A Indiana
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301088540 Michigan
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD60292915 Washington

Profile Details

NPI number 1841403110
LBN Legal business name Ondersma, Ross Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Jun 23rd, 2021 - about 4 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 1841403110 NPPES
Washington MEDICAID 2022790

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