Barret, Charles Tiffany

Barret, Charles Tiffany is an individual health care provider with primary practice located at 90 Se Klah Che Min Dr , Shelton WA 98584-9216. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Barret, Charles Tiffany can be contacted via phone (360) 427-9006.

Contact Information

Primary practice address
90 Se Klah Che Min Dr Shelton WA 98584-9216
Phone: (360) 427-9006
Fax: (360) 427-1951
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA10000621 Washington

Profile Details

NPI number 1821113119
LBN Legal business name Barret, Charles Tiffany
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2007
Last updated Jul 8th, 2007 - about 18 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 1821113119 NPPES
Washington MEDICAID 8601197

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