Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | MD00024248 | WA |
NPI | 1003988387 |
---|---|
Provider Name | Timothy Patrick Carey |
First Address | Seattle, WA 98105 |
Second Address | Seattle, WA 98105 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2006 |
Last Update Date | 17/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1078369 | (05) | WA |
E80288 | (02) |