Dacanay, Evangeline V

Dacanay, Evangeline V is an individual health care provider with primary practice located at 800 West Maple Street , Medical Lake WA 99022-0800. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Dacanay, Evangeline V can be contacted via phone (509) 299-3121.

Contact Information

Primary practice address
800 West Maple Street Medical Lake WA 99022-0800
Fax: (509) 299-7015
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD00028755 Washington

Profile Details

NPI number 1154303428
LBN Legal business name Dacanay, Evangeline V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Dec 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154303428 NPPES
Washington MEDICAID 1020843
Washington MEDICAID 8131823

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