Daly, Charles Paul
Daly, Charles Paul is an individual health care provider with primary practice located at 19020 33Rd Ave W Suite 210, Lynnwood WA 98036-4746. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Daly, Charles Paul can be contacted via phone (425) 563-1500.Contact Information
Primary practice address
19020 33Rd Ave W Suite 210
Lynnwood WA 98036-4746
Phone: (425) 563-1500
Fax: (425) 563-1501
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD00030288 | Washington |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | MD00030288 | Washington |
Profile Details
NPI number | 1790762946 |
---|---|
LBN Legal business name | Daly, Charles Paul |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 29th, 2005 |
Last updated | May 1st, 2018 - about 7 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 | 1790762946 | NPPES |
Washington | Other | 155036 | L&I PROVIDER NUMBER |
Washington | MEDICAID | 8159824 | L&I PROVIDER NUMBER |
Washington | Other | 115847 | L&I PROVIDER NUMBER |
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