Pea, Anisa S.

Pea, Anisa S. is an individual health care provider with primary practice located at 1400 E. Kincaid St. Skagit Regional Clinics, Mount Vernon WA 98274-4127. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Pea, Anisa S. can be contacted via phone (360) 848-4120.

Contact Information

Primary practice address
1400 E. Kincaid St. Skagit Regional Clinics Mount Vernon WA 98274-4127
Phone: (360) 848-4120
Fax: (360) 424-7945
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO60088825 Washington
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO60088825 Washington

Profile Details

NPI number 1316157787
LBN Legal business name Pea, Anisa S.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Nov 26th, 2018 - about 7 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 1316157787 NPPES
Washington Other 263702 LABOR & INDUSTRIES

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