Woltman, Todd A
Woltman, Todd A is an individual health care provider with primary practice located at 3920 Capital Mall Dr Sw Ste 201 , Olympia WA 98502-8702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Woltman, Todd A can be contacted via phone (360) 596-4880.Contact Information
Primary practice address
3920 Capital Mall Dr Sw Ste 201
Olympia WA 98502-8702
Phone: (360) 596-4880
Fax: (360) 596-4881
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD00042360 | Washington |
Profile Details
| NPI number | 1275522450 |
|---|---|
| LBN Legal business name | Woltman, Todd A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2005 |
| Last updated | Feb 21st, 2018 - about 6 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 | 1275522450 | NPPES |
| Washington | Other | 0212184 | LABOR & INDUSTRY |
| Washington | MEDICAID | 8365397 | LABOR & INDUSTRY |
| Washington | Other | 9114WO | LABOR & INDUSTRY |
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