Caballero, Myriam S

Caballero, Myriam S is an individual health care provider with primary practice located at 1330 Rockefeller Ave Suite 400, Everett WA 98201-1684. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Caballero, Myriam S can be contacted via phone (425) 261-4950.

Contact Information

Primary practice address
1330 Rockefeller Ave Suite 400 Everett WA 98201-1684
Phone: (425) 261-4950
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA10004602 Washington
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10004602 Washington

Profile Details

NPI number 1477688471
LBN Legal business name Caballero, Myriam S
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2007
Last updated Jan 12th, 2022 - about 2 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 1477688471 NPPES
Washington MEDICAID 8395584

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