Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | MD00026596 | WA |
N | 208200000X | Surgeon | MD00026596 | WA |
N | 208600000X | Surgeon | MD00026596 | WA |
NPI | 1548345366 |
---|---|
Provider Name | James D Perkins |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98195-6165 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2006 |
Last Update Date | 03/03/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8114852 | (05) | WA |
8460 | INTERNAL ID-MOTOR VEHICLE ID (01) | |
D81979 | (02) |