Wadsworth, Brett Lee

Wadsworth, Brett Lee is an sole proprietor health care provider with primary practice located at 6520 226Th Pl Se Ste 203 , Issaquah WA 98027-8969. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Wadsworth, Brett Lee can be contacted via phone (425) 222-1000.

Contact Information

Primary practice address
6520 226Th Pl Se Ste 203 Issaquah WA 98027-8969
Phone: (425) 222-1000
Fax: (425) 651-2973
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP9706 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP 60720812 Washington

Profile Details

NPI number 1649727249
LBN Legal business name Wadsworth, Brett Lee
Credentials JD, MSN, ARNP, PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2016
Last updated Aug 2nd, 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 1649727249 NPPES
Washington MEDICAID 13926671

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