Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | MD00028884 | WA |
N | 207Q00000X | Family Doctor | MD00028884 | WA |
Y | 207QA0401X | Family Doctor - Addiction Medicine | MD00028884 | WA |
NPI | 1922043512 |
---|---|
Provider Name | Adam A Kartman |
First Address | Bellingham, WA 98226-5246 |
Second Address | Bellingham, WA 98226-9278 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2006 |
Last Update Date | 14/05/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0227320 | LIWA (01) | WA |
0227322 | LIWA (01) | WA |
8144750 | (05) | WA |
BSWA | 1211KA (01) | WA |
E75476 | (02) |