Vick, Tanner James

Vick, Tanner James is an individual health care provider with primary practice located at 1330 Rockefeller Ave Ste 520, Everett WA 98201-1684. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Vick, Tanner James can be contacted via phone (425) 297-5200.

Contact Information

Primary practice address
1330 Rockefeller Ave Ste 520 Everett WA 98201-1684
Phone: (425) 297-5200
Fax: (425) 297-5210
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA10004747 Washington
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA10004747 Washington

Profile Details

NPI number 1487632667
LBN Legal business name Vick, Tanner James
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Apr 28th, 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 1487632667 NPPES
Washington Other 191975 L&I PROVIDER NUMBER
Washington MEDICAID 8412868 L&I PROVIDER NUMBER

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