Repphun, Andrea Marie

Repphun, Andrea Marie is an individual health care provider with primary practice located at 150 Dennis St Sw , Tumwater WA 98501-5459. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Repphun, Andrea Marie can be contacted via phone (360) 754-6367.

Contact Information

Primary practice address
150 Dennis St Sw Tumwater WA 98501-5459
Fax: (360) 754-6429
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00040230 Washington

Profile Details

NPI number 1043383136
LBN Legal business name Repphun, Andrea Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated Mar 7th, 2023 - about last year

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 1043383136 NPPES
Washington Other 1043383136 NPI
Washington MEDICAID 8286536 NPI

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