Provider Demographics
NPI:1841659844
Name:WESTSOUND INTERNAL MEDICINE PLLC
Entity type:Organization
Organization Name:WESTSOUND INTERNAL MEDICINE PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:SWIFT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:360-479-4580
Mailing Address - Street 1:2601 CHERRY AVE STE 302
Mailing Address - Street 2:
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98310-4201
Mailing Address - Country:US
Mailing Address - Phone:360-479-4580
Mailing Address - Fax:360-479-0424
Practice Address - Street 1:2601 CHERRY AVE STE 302
Practice Address - Street 2:
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98310-4201
Practice Address - Country:US
Practice Address - Phone:360-479-4580
Practice Address - Fax:360-479-0424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-18
Last Update Date:2016-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8951700Medicare PIN