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
Phone: (509) 222-1275
Fax: (509) 491-3031
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1093902413 | NPPES |
Washington | Other | 3003PE | BSWA |
Washington | MEDICAID | 8495541 | BSWA |
Washington | Other | 0225690 | BSWA |
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