Taibleson, David
Taibleson, David is an individual health care provider with primary practice located at 7315 212Th St Sw Suite 101, Edmonds WA 98026-7610. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Taibleson, David can be contacted via phone (425) 775-9474.Contact Information
Primary practice address
7315 212Th St Sw Suite 101
Edmonds WA 98026-7610
Phone: (425) 775-9474
Fax: (425) 670-3554
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 00027943 | Washington |
Profile Details
| NPI number | 1396893517 |
|---|---|
| LBN Legal business name | Taibleson, David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2007 |
| Last updated | Feb 5th, 2014 - about 11 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 | 1396893517 | NPPES |
| Washington | MEDICAID | 1091594 |
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