Talley Rostov, Audrey R

Talley Rostov, Audrey R is an individual health care provider with primary practice located at 10330 Meridian Ave N #370, Seattle WA 98133-9451. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Talley Rostov, Audrey R can be contacted via phone (206) 528-6000.

Contact Information

Primary practice address
10330 Meridian Ave N #370 Seattle WA 98133-9451
Fax: (206) 528-0014
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD00030598 Washington

Profile Details

NPI number 1427057512
LBN Legal business name Talley Rostov, Audrey R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Feb 29th, 2016 - about 8 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 1427057512 NPPES
Washington MEDICAID 8155244

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