Secrist, Eric S.

Secrist, Eric S. is an individual health care provider with primary practice located at 1500 Continental Pl , Mount Vernon WA 98273-4105. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Secrist, Eric S. can be contacted via phone (360) 424-7041.

Contact Information

Primary practice address
1500 Continental Pl Mount Vernon WA 98273-4105
Phone: (360) 424-7041
Fax: (360) 424-2418
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X MD61350532 Washington
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD61350532 Washington

Profile Details

NPI number 1760914840
LBN Legal business name Secrist, Eric S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2017
Last updated Aug 16th, 2023 - about 2 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 1760914840 NPPES
Washington Other 468405 WA L&I
Washington MEDICAID 2249973 WA L&I

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