Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MD00040590 | WA |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | MD00040590 | WA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | MD00040590 | WA |
Y | 207XS0117X | Orthopaedic Spine Surgeon | MD00040590 | WA |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | MD00040590 | WA |
N | 207XX0801X | Orthopaedic Trauma Surgeon | MD00040590 | WA |
NPI | 1578613998 |
---|---|
Provider Name | Jos A Cove |
First Address | Tacoma, WA 98405-3933 |
Second Address | Tacoma, WA 98405-3933 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2007 |
Last Update Date | 21/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0155512 | WA DEPT OF LABOR & INDUST (01) | WA |
1115534 | (05) | WA |
193641100 | US DEPT OF LABOR (01) | WA |
G72441 | (02) | WA |