Pepper, Ellendee
Pepper, Ellendee is an individual health care provider with primary practice located at 660 Sw 39Th St Ste 150, Renton WA 98057-4912. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Pepper, Ellendee can be contacted via phone (425) 793-4700.Contact Information
Primary practice address
660 Sw 39Th St Ste 150
Renton WA 98057-4912
Phone: (425) 793-4700
Fax: (425) 656-4046
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD00022801 | Washington |
Profile Details
| NPI number | 1861577223 |
|---|---|
| LBN Legal business name | Pepper, Ellendee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2006 |
| Last updated | Aug 24th, 2017 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861577223 | NPPES |
| Washington | Other | 070011908 | RR MEDICARE |
| Washington | MEDICAID | 1008770 | RR MEDICARE |
| Washington | Other | 0123182 | RR MEDICARE |
| Washington | Other | PE0386 | RR MEDICARE |
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