Wilke, Tanya Marie

Wilke, Tanya Marie is an sole proprietor health care provider with primary practice located at 1427 Jefferson Ave Suite 202, Enumclaw WA 98022-3649. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wilke, Tanya Marie can be contacted via phone (360) 825-2849.

Contact Information

Primary practice address
1427 Jefferson Ave Suite 202 Enumclaw WA 98022-3649
Phone: (360) 825-2849
Fax: (360) 825-5381
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ML20008540 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD60090609 Washington

Profile Details

NPI number 1235339359
LBN Legal business name Wilke, Tanya Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2007
Last updated Jan 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235339359 NPPES
Washington Other 0274400 STATE L&I
Washington Other 0251251 STATE L&I

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