Cresap, Sean Dominic

Cresap, Sean Dominic is an individual health care provider with primary practice located at 630 N Chelan Ave A-5, Wenatchee WA 98801-6622. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Prosthetics Case Management, Other Service Providers / Specialist. Other Service Providers / Prosthetics Case Management is his primary health care specialty. Cresap, Sean Dominic can be contacted via phone (509) 663-2490.

Contact Information

Primary practice address
630 N Chelan Ave A-5 Wenatchee WA 98801-6622
Phone: (509) 663-2490
Fax: (509) 663-2147
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prosthetics Case Management 1744P3200X PS00000162 Washington
Other Service Providers / Specialist 174400000X Washington

Profile Details

NPI number 1225225485
LBN Legal business name Cresap, Sean Dominic
Credentials C.P.O.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2007
Last updated Oct 1st, 2007 - about 18 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 1225225485 NPPES
Washington MEDICAID 8419053

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