Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | MD00043933 | WA |
Y | 207QG0300X | Family Doctor - Geriatric Medicine | MD00043933 | WA |
NPI | 1093815102 |
---|---|
Provider Name | Sarah M Babineau |
First Address | Seattle, WA 98124-8426 |
Second Address | Seattle, WA 98104-1316 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2006 |
Last Update Date | 28/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0197845 | LABOR AND INDUSTRIES (01) | WA |
8428559 | (05) | WA |
I42115 | (02) |