Enyeart, John D.

Enyeart, John D. is an individual health care provider with primary practice located at 10452 Silverdale Way Nw , Silverdale WA 98383-9411. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Enyeart, John D. can be contacted via phone (360) 307-7300.

Contact Information

Primary practice address
10452 Silverdale Way Nw Silverdale WA 98383-9411
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA10004309 Washington

Profile Details

NPI number 1457418600
LBN Legal business name Enyeart, John D.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated May 2nd, 2008 - about 16 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 1457418600 NPPES
Washington MEDICAID 8356958

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