Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | OI439 | WA |
N | 222Z00000X | Podiatrist | OI439 | WA |
Y | 224P00000X | Prosthetist | PS423 | WA |
NPI | 1316198815 |
---|---|
Provider Name | Wayne Biggs |
First Address | Seattle, WA 98108-1532 |
Second Address | Seattle, WA 98108-1532 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2008 |
Last Update Date | 02/10/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
CPO2681 | ABC CERTIFICATION (01) | WA |