Waddingham, Daniel

Waddingham, Daniel is an individual health care provider with primary practice located at 14731 Aurora Ave N , Shoreline WA 98133-6547. 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. Waddingham, Daniel can be contacted via phone (206) 365-0220.

Contact Information

Primary practice address
14731 Aurora Ave N Shoreline WA 98133-6547
Phone: (206) 365-0220
Fax: (206) 365-6436
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10004424 Washington

Profile Details

NPI number 1972596310
LBN Legal business name Waddingham, Daniel
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Jan 7th, 2008 - about 17 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 1972596310 NPPES
Washington MEDICAID 8430399

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