Phaneuf, Joseph D

Phaneuf, Joseph D is an individual health care provider with primary practice located at 101 W 8Th Ave , Spokane WA 99204-2307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Phaneuf, Joseph D can be contacted via phone (509) 474-3260.

Contact Information

Primary practice address
101 W 8Th Ave Spokane WA 99204-2307
Fax: (509) 474-2245
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00036029 Washington

Profile Details

NPI number 1053413153
LBN Legal business name Phaneuf, Joseph D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Jun 24th, 2021 - about 5 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 1053413153 NPPES
Washington MEDICAID 1103936
Washington Other 121414
Washington Other G000362000
Washington Other CG4026
Washington Other P00395895
Washington MEDICAID 8473381

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