Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | MD00035174 | WA |
Y | 111NI0900X | Internist | MD00035174 | WA |
NPI | 1003032350 |
---|---|
Provider Name | Dr. Tinsley Coble |
First Address | Seattle, WA 98112-3134 |
Second Address | Seattle, WA 98133 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2007 |
Last Update Date | 27/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1000047 | (05) | WA |
110242705 | RAIL ROAD MEDICARE (01) | WA |
G79601 | (02) | WA |