Putaansuu, Tom A

Putaansuu, Tom A is an individual health care provider with primary practice located at 3525 Ensign Rd Ne Ste M1 , Olympia WA 98506-5065. He recently has 3 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, Other Service Providers / Specialist, Speech, Language and Hearing Service Providers / Audiologist. Speech, Language and Hearing Service Providers / Audiologist is his primary health care specialty. Putaansuu, Tom A can be contacted via phone (360) 491-9733.

Contact Information

Primary practice address
3525 Ensign Rd Ne Ste M1 Olympia WA 98506-5065
Phone: (360) 491-9733
Fax: (360) 493-1943
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X LD00001057 Washington
Other Service Providers / Specialist 174400000X LD00001057 Washington
Speech, Language and Hearing Service Providers / Audiologist 231H00000X LD00001057 Washington

Profile Details

NPI number 1083711063
LBN Legal business name Putaansuu, Tom A
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jun 25th, 2020 - 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 1083711063 NPPES
Washington MEDICAID 9047473
Washington MEDICAID 7093891

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