Poore, Stephen E

Poore, Stephen E is an individual health care provider with primary practice located at 4215 49Th Ave Ne , Tacoma WA 98422-2421. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Gynecology is his primary health care specialty. Poore, Stephen E can be contacted via phone (253) 459-7699.

Contact Information

Primary practice address
4215 49Th Ave Ne Tacoma WA 98422-2421
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X MD00035285 Washington
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD00035285 Washington

Profile Details

NPI number 1851316780
LBN Legal business name Poore, Stephen E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jan 10th, 2020 - about 5 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 1851316780 NPPES
Other 160040245 RAILROAD MEDICARE
Other PO7788 RAILROAD MEDICARE
Other 0039592 RAILROAD MEDICARE
Other US1004480 RAILROAD MEDICARE
MEDICAID 8221533 RAILROAD MEDICARE

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