Titova, Dina
Titova, Dina is an individual health care provider with primary practice located at 11311 Bridgeport Way Sw Suite 214, Lakewood WA 98499-3071. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Titova, Dina can be contacted via phone (253) 985-6490.Contact Information
Primary practice address
11311 Bridgeport Way Sw Suite 214
Lakewood WA 98499-3071
Phone: (253) 985-6490
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | MD00048351 | Washington |
Profile Details
| NPI number | 1861549651 |
|---|---|
| LBN Legal business name | Titova, Dina |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Apr 6th, 2011 - about 13 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 | 1861549651 | NPPES |
| Washington | Other | 222634 | STATE L&I |
| Washington | Other | 222635 | STATE L&I |
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