Tolberg, Mary Ellen

Tolberg, Mary Ellen is an individual health care provider with primary practice located at 7315 212Th St Sw Suite 101, Edmonds WA 98026-7610. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Tolberg, Mary Ellen can be contacted via phone (425) 775-9474.

Contact Information

Primary practice address
7315 212Th St Sw Suite 101 Edmonds WA 98026-7610
Fax: (425) 670-3554
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 00028731 Washington

Profile Details

NPI number 1710035936
LBN Legal business name Tolberg, Mary Ellen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Feb 5th, 2014 - about 10 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 1710035936 NPPES
Washington MEDICAID 8141871

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