Provider Demographics
NPI:1316094311
Name:C. STEPHEN SETTLE, M.D., P.S.
Entity type:Organization
Organization Name:C. STEPHEN SETTLE, M.D., P.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHALES
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:SETTLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:253-627-5066
Mailing Address - Street 1:2201 S 19TH ST STE 104
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-2961
Mailing Address - Country:US
Mailing Address - Phone:253-627-5066
Mailing Address - Fax:253-627-5173
Practice Address - Street 1:2201 S 19TH ST STE 104
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-2961
Practice Address - Country:US
Practice Address - Phone:253-627-5066
Practice Address - Fax:253-627-5173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00016745174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1001486Medicaid
WAA06367Medicare UPIN
WA8802258Medicare ID - Type UnspecifiedMEDICARE