Wissow, Lawrence

Wissow, Lawrence is an individual health care provider with primary practice located at 4800 Sand Point Way Ne , Seattle WA 98105-3901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Wissow, Lawrence can be contacted via phone (206) 987-0000.

Contact Information

Primary practice address
4800 Sand Point Way Ne Seattle WA 98105-3901
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X MD60909909 Washington

Profile Details

NPI number 1760428742
LBN Legal business name Wissow, Lawrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Feb 13th, 2019 - about 5 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 1760428742 NPPES
Washington MEDICAID 1760428742

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