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
Fax: (253) 759-1415
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265407720 NPPES
Washington Other 129185 LABOR AND INDUSTRIES
Washington MEDICAID 1012038 LABOR AND INDUSTRIES

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