Eusebio, Emmanuel J.

Eusebio, Emmanuel J. is an individual health care provider with primary practice located at Peacehealth Medical Group 4545 Cordata Parkway, Suite 1F, Bellingham WA 98226. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Eusebio, Emmanuel J. can be contacted via phone (360) 738-2200.

Contact Information

Primary practice address
Peacehealth Medical Group 4545 Cordata Parkway, Suite 1F Bellingham WA 98226
Phone: (360) 738-2200
Fax: (360) 752-5679
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X MD00030270 Washington
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD00030270 Washington

Profile Details

NPI number 1316936164
LBN Legal business name Eusebio, Emmanuel J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Jul 26th, 2019 - 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 1316936164 NPPES
Washington MEDICAID 1083229

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