Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223S0112X | Oral and Maxillofacial Surgeon | 07056 | WA |
N | 204E00000X | Oral & Maxillofacial Surgeon | MD00031910 | WA |
NPI | 1154400596 |
---|---|
Provider Name | Dr. Emily Marie Sabbagh |
First Address | Auburn, WA 98002-5543 |
Second Address | Auburn, WA 98002-5543 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/11/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
07056 | DENTAL LIC (01) | WA |
08025 | WDS NUMBER (01) | WA |
1088830 | DSHS NUMBER MEDICAL (01) | WA |
182105 | UNITED CONCORDIA NUMBER (01) | WA |
192192-1 | NEW YORK LIC (01) | NY |
5016282 | DSHS NUMBER DENTAL (01) | WA |
57215A | REGENCE FEDERAL WAY (01) | WA |
BS2970235 | DEA WA (01) | WA |
F63738 | (02) | WA |
MD00031910 | MEDICAL LIC (01) | WA |
SA6562 | REGENCE NUMBER AUBURN OFF (01) | WA |