Swanson, Mark A

Swanson, Mark A is an individual health care provider with primary practice located at 12040 Ne 128Th St , Kirkland WA 98034-3013. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Swanson, Mark A can be contacted via phone (425) 899-1000.

Contact Information

Primary practice address
12040 Ne 128Th St Kirkland WA 98034-3013
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD00013270 Washington

Profile Details

NPI number 1669416715
LBN Legal business name Swanson, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Dec 4th, 2007 - about 17 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 1669416715 NPPES
Other SW5778 REGENCE BS
Other 8938299 REGENCE BS
MEDICAID 8259020 REGENCE BS
Other A06766 REGENCE BS
Other 184568 REGENCE BS

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