Tagge, Gordon

Tagge, Gordon is an individual health care provider with primary practice located at 503 E Highland Ave , Chelan WA 98816-8631. He recently has only one registered license in Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, which is considered as his primary health care specialty. Tagge, Gordon can be contacted via phone (509) 682-8517.

Contact Information

Primary practice address
503 E Highland Ave Chelan WA 98816-8631
Phone: (509) 682-8517
Fax: (509) 682-6131
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X MD00034338 Washington

Profile Details

NPI number 1174591333
LBN Legal business name Tagge, Gordon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jul 9th, 2007 - about 18 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 1174591333 NPPES
Washington MEDICAID 1115781

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