Chesnut, Randall Matthew

Chesnut, Randall Matthew is an individual health care provider with primary practice located at Harborview Medical Center Pbs Building, 401 Broadway, #2075, Seattle WA 98122. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Chesnut, Randall Matthew can be contacted via phone (206) 744-9340.

Contact Information

Primary practice address
Harborview Medical Center Pbs Building, 401 Broadway, #2075 Seattle WA 98122
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X MD00043532 Washington

Profile Details

NPI number 1669515136
LBN Legal business name Chesnut, Randall Matthew
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2007
Last updated Feb 16th, 2012 - about 13 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 1669515136 NPPES
Washington Other 0230864 L&I
Washington MEDICAID 1669515136 L&I
Washington Other 2031370 L&I

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