Fleming, Edward O.

Fleming, Edward O. is an sole proprietor health care provider with primary practice located at 900 S Auburn St , Kennewick WA 99336-5621. 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. Fleming, Edward O. can be contacted via phone (509) 586-6111.

Contact Information

Primary practice address
900 S Auburn St Kennewick WA 99336-5621
Phone: (509) 586-6111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN00081581 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP30005028 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 094006391CRNA Oregon

Profile Details

NPI number 1629024765
LBN Legal business name Fleming, Edward O.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2006
Last updated Oct 20th, 2021 - about 3 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 1629024765 NPPES
Washington MEDICAID 9634809
Washington MEDICAID 004366000

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