Chernekoff, Michael Lawrence
Chernekoff, Michael Lawrence is an individual health care provider with primary practice located at 1225 Campbell Way Suite 201, Bremerton WA 98310-3351. 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. Chernekoff, Michael Lawrence can be contacted via phone (360) 377-1355.Contact Information
Primary practice address
1225 Campbell Way Suite 201
Bremerton WA 98310-3351
Phone: (360) 377-1355
Fax: (360) 377-1558
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA10003909 | Washington |
Profile Details
| NPI number | 1356429716 |
|---|---|
| LBN Legal business name | Chernekoff, Michael Lawrence |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2006 |
| Last updated | Jan 4th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356429716 | NPPES |
| Other | 253470 | INTERNAL ID-MOTOR VEHICLE ID | |
| MEDICAID | 8320624 | INTERNAL ID-MOTOR VEHICLE ID |
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