Cantrell, Dawn Marie

Cantrell, Dawn Marie is an individual health care provider with primary practice located at 3927 Rucker Ave , Everett WA 98201-4833. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Cantrell, Dawn Marie can be contacted via phone (425) 259-0966.

Contact Information

Primary practice address
3927 Rucker Ave Everett WA 98201-4833
Phone: (425) 259-0966
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD60070851 Washington

Profile Details

NPI number 1588858542
LBN Legal business name Cantrell, Dawn Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2007
Last updated Oct 25th, 2013 - about 12 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 1588858542 NPPES
Washington Other P00848591 RRMC
Washington MEDICAID 8554768 RRMC

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