Mcgovern, Tristan M.

Mcgovern, Tristan M. is an individual health care provider with primary practice located at 832 Georgiana St , Port Angeles WA 98362-3512. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Mcgovern, Tristan M. can be contacted via phone (360) 457-0804.

Contact Information

Primary practice address
832 Georgiana St Port Angeles WA 98362-3512
Phone: (360) 457-0804
Fax: (360) 457-7023
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD00038097 Washington
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X MD00038097 Washington

Profile Details

NPI number 1215981774
LBN Legal business name Mcgovern, Tristan M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Apr 20th, 2016 - about 8 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 1215981774 NPPES
Other 200040914 RAILROAD MEDICARE
MEDICAID 8250219 RAILROAD MEDICARE

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