Rothstrom, Matthew Jonathon
Rothstrom, Matthew Jonathon is an individual health care provider with primary practice located at 7320 216Th St Sw Ste 320 , Edmonds WA 98026-8006. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Rothstrom, Matthew Jonathon can be contacted via phone (425) 673-3900.Contact Information
Primary practice address
7320 216Th St Sw Ste 320
Edmonds WA 98026-8006
Phone: (425) 673-3900
Fax: (425) 673-3910
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 60872146 | Washington |
Profile Details
| NPI number | 1710461652 |
|---|---|
| LBN Legal business name | Rothstrom, Matthew Jonathon |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 17th, 2018 |
| Last updated | Nov 5th, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710461652 | NPPES |
| Washington | MEDICAID | 2110750 |
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