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
Phone: (206) 744-9340
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1669515136 | NPPES |
Washington | Other | 0230864 | L&I |
Washington | MEDICAID | 1669515136 | L&I |
Washington | Other | 2031370 | L&I |
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