Chong, Taylor Keiichi

Chong, Taylor Keiichi is an individual health care provider with primary practice located at 5350 Tallman Ave Nw Ste 500 , Seattle WA 98107-5902. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Chong, Taylor Keiichi can be contacted via phone (206) 784-8833.

Contact Information

Primary practice address
5350 Tallman Ave Nw Ste 500 Seattle WA 98107-5902
Phone: (206) 784-8833
Fax: (206) 784-0676
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA61407244 Washington

Profile Details

NPI number 1033887443
LBN Legal business name Chong, Taylor Keiichi
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2021
Last updated Sep 25th, 2023 - about 2 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 1033887443 NPPES
Washington MEDICAID 2257812

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