William T. Affolter, M.D.
Individual provider Active NPI Family Medicine Physician · Seattle, WA
NPI 1902953367 · NPPES record last updated Oct 17, 2007
Key facts
- NPI
- 1902953367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD00011351 (WA)
- Practice address
- 125 16TH Ave E
CSB-4
Seattle, WA 98112-5211 - Phone
- (506) 326-3530
- NPI assigned
- Jan 5, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00011351 | WA | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00011351 | WA | Yes |
Addresses
Primary practice location
125 16TH Ave E
CSB-4
Seattle, WA 98112-5211
Mailing address
PO Box 34584
Seattle, WA 98124-1584
Phone (509) 241-7349
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8435406 | Medicaid | WA |
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All providers in Seattle, WA · Family Medicine Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.