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
Fax: (360) 792-6889
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629003850 NPPES
Washington MEDICAID 8291205

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