Perry, Chadwick Jay

Perry, Chadwick Jay is an sole proprietor health care provider with primary practice located at 8508 W Gage Blvd Ste A101 , Kennewick WA 99336-8106. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Perry, Chadwick Jay can be contacted via phone (509) 222-1275.

Contact Information

Primary practice address
8508 W Gage Blvd Ste A101 Kennewick WA 99336-8106
Fax: (509) 491-3031
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10005292 Washington

Profile Details

NPI number 1093902413
LBN Legal business name Perry, Chadwick Jay
Credentials PA C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 30th, 2007
Last updated Jul 10th, 2019 - about 6 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 1093902413 NPPES
Washington Other 3003PE BSWA
Washington MEDICAID 8495541 BSWA
Washington Other 0225690 BSWA

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