Caudill, Gregory T

Caudill, Gregory T is an individual health care provider with primary practice located at 122 3Rd St Ne , Auburn WA 98002-4098. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Caudill, Gregory T can be contacted via phone (253) 833-7750.

Contact Information

Primary practice address
122 3Rd St Ne Auburn WA 98002-4098
Phone: (253) 833-7750
Fax: (253) 833-7469
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10001883 Washington

Profile Details

NPI number 1831199777
LBN Legal business name Caudill, Gregory T
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Feb 14th, 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 1831199777 NPPES
Washington Other 130067 DEPT OF L&I

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