Nessan, Vernon
Nessan, Vernon is an individual health care provider with primary practice located at 702 23Rd Ave Se , Puyallup WA 98372-4661. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Nessan, Vernon can be contacted via phone (253) 841-4378.Contact Information
Primary practice address
702 23Rd Ave Se
Puyallup WA 98372-4661
Phone: (253) 841-4378
Fax: (253) 841-5881
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD00013833 | Washington |
Profile Details
| NPI number | 1881641686 |
|---|---|
| LBN Legal business name | Nessan, Vernon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1881641686 | NPPES |
| Washington | MEDICAID | 1665702 | |
| Washington | Other | 0155123 | |
| Washington | Other | 91120349463 | |
| Washington | Other | 98372K003 | |
| Washington | Other | NE2298 | |
| Washington | Other | 4330437 |
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