Dagan, Benigno Waldo A
Dagan, Benigno Waldo A is an sole proprietor health care provider with primary practice located at 1420 Main St , Sumner WA 98390. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Dagan, Benigno Waldo A can be contacted via phone (253) 987-5156.Contact Information
Primary practice address
1420 Main St
Sumner WA 98390
Phone: (253) 987-5156
Fax: (253) 987-5462
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD00036169 | Washington |
Profile Details
NPI number | 1235182122 |
---|---|
LBN Legal business name | Dagan, Benigno Waldo A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 19th, 2006 |
Last updated | May 10th, 2011 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1235182122 | NPPES |
Washington | Other | 5496722 | AETNA PROVIDER NUMBER |
Washington | Other | 0185591 | AETNA PROVIDER NUMBER |
Washington | MEDICAID | 2004507 | AETNA PROVIDER NUMBER |
Washington | Other | 98390A015 | AETNA PROVIDER NUMBER |
Washington | Other | 9869DA | AETNA PROVIDER NUMBER |
Washington | Other | 911203494BP | AETNA PROVIDER NUMBER |
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