Carmack, Edwin Blount

Carmack, Edwin Blount is an individual health care provider with primary practice located at 820 N Chelan Ave , Wenatchee WA 98801-2028. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Carmack, Edwin Blount can be contacted via phone (509) 663-8711.

Contact Information

Primary practice address
820 N Chelan Ave Wenatchee WA 98801-2028
Phone: (509) 663-8711
Fax: (509) 665-6065
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00048684 Washington
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD00048684 Washington

Profile Details

NPI number 1174504302
LBN Legal business name Carmack, Edwin Blount
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2005
Last updated Nov 12th, 2020 - about 4 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 1174504302 NPPES
Washington Other 0225361 L&I
Washington Other 8945510 L&I
Washington Other P01292756 L&I
Washington Other 315405 L&I
Washington MEDICAID 1174504302 L&I

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