Guadamuz, Christian Manuel

Guadamuz, Christian Manuel is an individual health care provider with primary practice located at 820 N Chelan Ave , Wenatchee WA 98801-2028. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Guadamuz, Christian Manuel can be contacted via phone (509) 663-8711.

Contact Information

Primary practice address
820 N Chelan Ave Wenatchee WA 98801-2028
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA10005335 Washington

Profile Details

NPI number 1205019460
LBN Legal business name Guadamuz, Christian Manuel
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2007
Last updated Jun 22nd, 2022 - about 2 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 1205019460 NPPES
Washington Other P01418020 RR MEDICARE WVH
Washington Other P00471589 RR MEDICARE WVH
Washington MEDICAID 8504128 RR MEDICARE WVH
Washington Other 8949262 RR MEDICARE WVH
Washington Other 0241149 RR MEDICARE WVH

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