Short, Dean
Short, Dean is an individual health care provider with primary practice located at 834 Sheridan St , Port Townsend WA 98368-2443. 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. Short, Dean can be contacted via phone (360) 344-3090.Contact Information
Primary practice address
834 Sheridan St
Port Townsend WA 98368-2443
Phone: (360) 344-3090
Fax: (360) 344-3089
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA10005046 | Washington |
Profile Details
| NPI number | 1356455745 |
|---|---|
| LBN Legal business name | Short, Dean |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Mar 15th, 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 | 1356455745 | NPPES |
| Other | P00406337 | RAILROAD MEDICARE | |
| MEDICAID | 8462178 | RAILROAD MEDICARE |
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