Covington, Brian

Covington, Brian is an individual health care provider with primary practice located at 914 S. Scheuber Road , Centralia WA 98531-9027. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Covington, Brian can be contacted via phone (360) 736-2803.

Contact Information

Primary practice address
914 S. Scheuber Road Centralia WA 98531-9027
Phone: (360) 736-2803
Fax: (559) 459-3719
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA19442 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA60262298 Washington

Profile Details

NPI number 1326219536
LBN Legal business name Covington, Brian
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2008
Last updated Apr 26th, 2017 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326219536 NPPES
Washington MEDICAID 2009431
Washington MEDICAID PENDING

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