Vieco, Pedro T.
Vieco, Pedro T. is an individual health care provider with primary practice located at 19020 33Rd Ave W Ste 210, Lynnwood WA 98036-4746. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Vieco, Pedro T. can be contacted via phone (425) 563-1500.Contact Information
Primary practice address
19020 33Rd Ave W Ste 210
Lynnwood WA 98036-4746
Phone: (425) 563-1500
Fax: (425) 563-1374
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | MD00034305 | Washington |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD00034305 | Washington |
Profile Details
NPI number | 1669450128 |
---|---|
LBN Legal business name | Vieco, Pedro T. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 5th, 2006 |
Last updated | Feb 9th, 2015 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1669450128 | NPPES |
Washington | Other | 175981 | L&I PROVIDER |
Washington | Other | P01279540 | L&I PROVIDER |
Washington | Other | 117421 | L&I PROVIDER |
Washington | Other | 120222 | L&I PROVIDER |
Washington | MEDICAID | 8199176 | L&I PROVIDER |
Washington | Other | 197515 | L&I PROVIDER |
Washington | Other | 204124 | L&I PROVIDER |
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