Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | MD00019970 | WA |
Y | 207YP0228X | Pediatric Otolaryngology | MD00019970 | WA |
NPI | 1255421145 |
---|---|
Provider Name | Andrew F Inglis |
First Address | Seattle, WA 98105-3900 |
Second Address | Seattle, WA 98105-3901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2006 |
Last Update Date | 05/02/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1028695 | (05) | WA |
6113 | INTERNAL ID-MOTOR VEHICLE ID (01) | |
E36846 | (02) |