Churchley, Stephen
Churchley, Stephen is an individual health care provider with primary practice located at 939 Caroline St , Port Angeles WA 98362-3909. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Churchley, Stephen can be contacted via phone (360) 417-7000.Contact Information
Primary practice address
939 Caroline St
Port Angeles WA 98362-3909
Phone: (360) 417-7000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD00026834 | Washington |
Profile Details
| NPI number | 1285602706 |
|---|---|
| LBN Legal business name | Churchley, Stephen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1285602706 | NPPES |
| Other | 9161CH | REGENCE BLUE SHIELD RIDER | |
| MEDICAID | 8310120 | REGENCE BLUE SHIELD RIDER |
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