Nevidomskyte, Daiva

Nevidomskyte, Daiva is an individual health care provider with primary practice located at 1802 Yakima Ave Ste 204 , Tacoma WA 98405-5304. She recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as her primary health care specialty. Nevidomskyte, Daiva can be contacted via phone (253) 382-8540.

Contact Information

Primary practice address
1802 Yakima Ave Ste 204 Tacoma WA 98405-5304
Fax: (253) 382-8545
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD60804832 Washington

Profile Details

NPI number 1164712931
LBN Legal business name Nevidomskyte, Daiva
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2011
Last updated Nov 22nd, 2021 - about 3 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 1164712931 NPPES
Washington MEDICAID 2018866

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