Tice, Paul
Tice, Paul is an individual health care provider with primary practice located at 2520 Cherry Ave , Bremerton WA 98310-4229. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Tice, Paul can be contacted via phone (360) 377-3911.Contact Information
Primary practice address
2520 Cherry Ave
Bremerton WA 98310-4229
Phone: (360) 377-3911
Fax: (360) 792-6889
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | MD00013450 | Washington |
Profile Details
| NPI number | 1629003850 |
|---|---|
| LBN Legal business name | Tice, Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | May 16th, 2008 - about 16 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 | 1629003850 | NPPES |
| Washington | MEDICAID | 8291205 |
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