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
Phone: (206) 987-0000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760428742 | NPPES |
| Washington | MEDICAID | 1760428742 |
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