Anderegg, Charles W

Anderegg, Charles W is an individual health care provider with primary practice located at 1701 N 13Th St Ste A , Shelton WA 98584-2077. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Anderegg, Charles W can be contacted via phone (360) 426-2653.

Contact Information

Primary practice address
1701 N 13Th St Ste A Shelton WA 98584-2077
Phone: (360) 426-2653
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X MA052594 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA10003420 Washington

Profile Details

NPI number 1124056437
LBN Legal business name Anderegg, Charles W
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Nov 16th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124056437 NPPES
Washington MEDICAID 8521973

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