Verschuyl, Evert-Jan

Verschuyl, Evert-Jan is an individual health care provider with primary practice located at 3417 Ensign Rd Ne , Olympia WA 98506-5075. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Verschuyl, Evert-Jan can be contacted via phone (360) 493-4609.

Contact Information

Primary practice address
3417 Ensign Rd Ne Olympia WA 98506-5075
Phone: (360) 493-4609
Fax: (360) 493-4603
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD00030871 Washington
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD00030871 Washington

Profile Details

NPI number 1831170927
LBN Legal business name Verschuyl, Evert-Jan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Oct 8th, 2020 - about 4 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 1831170927 NPPES
Washington Other 0417786 L&I-RADIA KING CTY
Washington Other 0384715 L&I-RADIA KING CTY
Washington MEDICAID 1045847 L&I-RADIA KING CTY
Washington Other 0114512 L&I-RADIA KING CTY
Washington Other 0405724 L&I-RADIA KING CTY
Washington Other 0417788 L&I-RADIA KING CTY
Washington Other 0417790 L&I-RADIA KING CTY

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