Vanwagenen, Peter B.
Vanwagenen, Peter B. is an individual health care provider with primary practice located at 209 Martin Luther King Jr Way , Tacoma WA 98405-4265. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Vanwagenen, Peter B. can be contacted via phone (253) 596-3300.Contact Information
Primary practice address
209 Martin Luther King Jr Way
Tacoma WA 98405-4265
Phone: (253) 596-3300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD00017550 | Washington |
Profile Details
| NPI number | 1942367438 |
|---|---|
| LBN Legal business name | Vanwagenen, Peter B. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | May 7th, 2008 - about 16 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 | 1942367438 | NPPES |
| Washington | MEDICAID | 8431504 |
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