Willcox, Todd Michael

Willcox, Todd Michael is an individual health care provider with primary practice located at 5005 Main St Ste 125 , Tacoma WA 98407-3177. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Willcox, Todd Michael can be contacted via phone (253) 759-4522.

Contact Information

Primary practice address
5005 Main St Ste 125 Tacoma WA 98407-3177
Phone: (253) 759-4522
Fax: (360) 598-7505
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X MD00042148 Washington

Profile Details

NPI number 1417931007
LBN Legal business name Willcox, Todd Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
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 1417931007 NPPES
Washington Other 0261603 STATE L&I
Washington Other 0266417 STATE L&I
Washington MEDICAID 1009933 STATE L&I
Washington Other 198792 STATE L&I
Washington Other 0251801 STATE L&I

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