Sledd, Andrew T
Sledd, Andrew T is an individual health care provider with primary practice located at 1007 39Th Ave Se , Puyallup WA 98374-2192. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Sledd, Andrew T can be contacted via phone (253) 435-3100.Contact Information
Primary practice address
1007 39Th Ave Se
Puyallup WA 98374-2192
Phone: (253) 435-3100
Fax: (253) 435-3298
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | C141414 | California |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD60765787 | Washington |
Profile Details
| NPI number | 1194946467 |
|---|---|
| LBN Legal business name | Sledd, Andrew T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2007 |
| Last updated | Jun 29th, 2022 - about 3 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 | 1194946467 | NPPES |
| Missouri | Other | 888783 | ANTHEM BCBS |
| Missouri | MEDICAID | 1194946467 | ANTHEM BCBS |
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