Tomada, Connie Ruth H

Tomada, Connie Ruth H is an individual health care provider with primary practice located at 22180 Olympic College Way Nw , Poulsbo WA 98370-6664. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Tomada, Connie Ruth H can be contacted via phone (360) 779-4444.

Contact Information

Primary practice address
22180 Olympic College Way Nw Poulsbo WA 98370-6664
Fax: (253) 215-1094
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD60036801 Washington

Profile Details

NPI number 1982724944
LBN Legal business name Tomada, Connie Ruth H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2007
Last updated Jan 18th, 2021 - about 3 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 1982724944 NPPES
Washington MEDICAID 2001702

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