Plonsky, Carl Andrew
Plonsky, Carl Andrew is an individual health care provider with primary practice located at 1530 S Union Ave Suite 1, Tacoma WA 98405-1954. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Plonsky, Carl Andrew can be contacted via phone (253) 759-3333.Contact Information
Primary practice address
1530 S Union Ave Suite 1
Tacoma WA 98405-1954
Phone: (253) 759-3333
Fax: (253) 759-1415
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD00017861 | Washington |
Profile Details
NPI number | 1265407720 |
---|---|
LBN Legal business name | Plonsky, Carl Andrew |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 20th, 2006 |
Last updated | Nov 7th, 2014 - about 10 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 | 1265407720 | NPPES |
Washington | Other | 129185 | LABOR AND INDUSTRIES |
Washington | MEDICAID | 1012038 | LABOR AND INDUSTRIES |
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