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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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