Tickman, Ronald Jay

Tickman, Ronald Jay is an individual health care provider with primary practice located at 747 Broadway , Seattle WA 98122-4307. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Tickman, Ronald Jay can be contacted via phone (206) 386-6000.

Contact Information

Primary practice address
747 Broadway Seattle WA 98122-4307
Phone: (206) 386-6000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X MD00027547 Washington
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD00027547 Washington

Profile Details

NPI number 1972572493
LBN Legal business name Tickman, Ronald Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Dec 18th, 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 1972572493 NPPES
Washington Other 203952 LABOR & INDUSTRIES
Washington MEDICAID 8168510 LABOR & INDUSTRIES

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