Dean, Elisabeth Rose

Dean, Elisabeth Rose is an individual health care provider with primary practice located at 450 S Kitsap Blvd Ste 100 , Port Orchard WA 98366-3709. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Dean, Elisabeth Rose can be contacted via phone (360) 744-6275.

Contact Information

Primary practice address
450 S Kitsap Blvd Ste 100 Port Orchard WA 98366-3709
Phone: (360) 744-6275
Fax: (360) 744-6270
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA60736525 Washington

Profile Details

NPI number 1558665455
LBN Legal business name Dean, Elisabeth Rose
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2011
Last updated Apr 26th, 2022 - about 2 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 1558665455 NPPES
Washington MEDICAID 2077317

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