Sturdevant, Mark L
Sturdevant, Mark L is an individual health care provider with primary practice located at 1959 Ne Pacific St , Seattle WA 98195-6574. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Transplant Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Sturdevant, Mark L can be contacted via phone (206) 520-5000.Contact Information
Primary practice address
1959 Ne Pacific St
Seattle WA 98195-6574
Phone: (206) 520-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | MD61025436 | Washington |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD61025436 | Washington |
Profile Details
| NPI number | 1992894075 |
|---|---|
| LBN Legal business name | Sturdevant, Mark L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Nov 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992894075 | NPPES |
| Washington | MEDICAID | 1992894075 |
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