Rezek, Nicholas M

Rezek, Nicholas M is an individual health care provider with primary practice located at 400 S 43Rd St , Renton WA 98055-5714. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Rezek, Nicholas M can be contacted via phone (425) 228-3450.

Contact Information

Primary practice address
400 S 43Rd St Renton WA 98055-5714
Phone: (425) 228-3450
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10004972 Washington

Profile Details

NPI number 1356329221
LBN Legal business name Rezek, Nicholas M
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2006
Last updated Sep 21st, 2011 - about 14 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 1356329221 NPPES
Washington Other 0214542 LIWA
Washington Other 3075RE LIWA
Washington MEDICAID 8442725 LIWA

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