Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | MD00027655 | WA |
NPI | 1023198090 |
---|---|
Provider Name | Timothy Andrew Scearce |
First Address | Silverdale, WA 98383-9411 |
Second Address | Silverdale, WA 98383-9411 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2006 |
Last Update Date | 29/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
233724 | L&I (01) | WA |
8075 | INTERNAL ID-MOTOR VEHICLE ID (01) | |
8141459 | (05) | WA |
F35636 | (02) |