Vigil, Carlos A.

Vigil, Carlos A. is an individual health care provider with primary practice located at 209 Martin Luther King Jr Way , Tacoma WA 98405-4265. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Vigil, Carlos A. can be contacted via phone (253) 596-3300.

Contact Information

Primary practice address
209 Martin Luther King Jr Way Tacoma WA 98405-4265
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA10003501 Washington
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA10003501 Washington

Profile Details

NPI number 1639236300
LBN Legal business name Vigil, Carlos A.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2007
Last updated May 10th, 2021 - about 3 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 1639236300 NPPES
Washington MEDICAID 8343337

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