Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | 252-01:0000320 | WA |
N | 213ES0131X | Foot Surgery | 252-01:0000320 | WA |
NPI | 1427065697 |
---|---|
Provider Name | Dr. William James Tronvig |
First Address | Aberdeen, WA 98520-1034 |
Second Address | Aberdeen, WA 98520-1034 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 24/02/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1078989 | (05) | WA |
480001662 | RAILROAD MEDICARE (01) | WA |
91-1181077 | FEDERAL TAX ID (01) | WA |
T83847 | (02) | WA |
TR8319 | REGENCE RIDER NUMBER (01) | WA |