Gavin, William A
Gavin, William A is an individual health care provider with primary practice located at 500 Lilly Rd Ne Ste 100, Olympia WA 98506. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Gavin, William A can be contacted via phone (360) 413-8525.Contact Information
Primary practice address
500 Lilly Rd Ne Ste 100
Olympia WA 98506
Phone: (360) 413-8525
Fax: (360) 413-8837
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD00016907 | Washington |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 16907 | Washington |
Profile Details
| NPI number | 1285635730 |
|---|---|
| LBN Legal business name | Gavin, William A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Sep 21st, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285635730 | NPPES |
| Washington | MEDICAID | 8108805 |
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