Elsemore, Eric A

Elsemore, Eric A is an sole proprietor health care provider with primary practice located at 2517 Ne Kresky Ave , Chehalis WA 98532-2409. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Elsemore, Eric A can be contacted via phone (360) 748-8632.

Contact Information

Primary practice address
2517 Ne Kresky Ave Chehalis WA 98532-2409
Phone: (360) 748-8632
Fax: (360) 748-3869
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN0117713 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP30005759 Washington

Profile Details

NPI number 1184695140
LBN Legal business name Elsemore, Eric A
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2006
Last updated Nov 23rd, 2020 - about 5 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 1184695140 NPPES
Washington Other G8897483 MEDICARE WA
Washington Other G8898112 MEDICARE WA
Washington Other G8900477 MEDICARE WA
Washington Other G8967168 MEDICARE WA
Washington MEDICAID 1004358 MEDICARE WA

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