Haggard, Caylon W.

Haggard, Caylon W. is an individual health care provider with primary practice located at 411 Fortuyn Rd , Grand Coulee WA 99133-8718. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Haggard, Caylon W. can be contacted via phone (509) 633-1911.

Contact Information

Primary practice address
411 Fortuyn Rd Grand Coulee WA 99133-8718
Phone: (509) 633-1911
Fax: (509) 633-1933
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 1787 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1787 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA61041209 Washington

Profile Details

NPI number 1902042765
LBN Legal business name Haggard, Caylon W.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2008
Last updated Jun 24th, 2020 - 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 1902042765 NPPES
Washington MEDICAID 2155035
Washington MEDICAID 200234370A

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