Vaughn, Justin T

Vaughn, Justin T is an individual health care provider with primary practice located at 9040 Jackson Ave Madigan Army Medical Center , Tacoma WA 98431-0001. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Vaughn, Justin T can be contacted via phone (253) 968-1110.

Contact Information

Primary practice address
9040 Jackson Ave Madigan Army Medical Center Tacoma WA 98431-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X RN00162696 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP300007207 Washington

Profile Details

NPI number 1568412096
LBN Legal business name Vaughn, Justin T
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Aug 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568412096 NPPES
Washington Other 0039515 L&I
Washington Other 3350VA L&I

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