Hanevold, Coral D.

Hanevold, Coral D. is an individual health care provider with primary practice located at 4800 Sand Point Way Ne Mailstop A-7931, Seattle WA 98105-3901. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Nephrology, which is considered as her primary health care specialty. Hanevold, Coral D. can be contacted via phone (206) 987-2524.

Contact Information

Primary practice address
4800 Sand Point Way Ne Mailstop A-7931 Seattle WA 98105-3901
Fax: (206) 987-2636
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X MD00048253 Washington

Profile Details

NPI number 1689784043
LBN Legal business name Hanevold, Coral D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Sep 15th, 2007 - about 18 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 1689784043 NPPES
South Carolina MEDICAID TL2833

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