Buxbaum, Evan

Buxbaum, Evan is an individual health care provider with primary practice located at 7 Deye Ln , Eastsound WA 98245-8578. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Buxbaum, Evan can be contacted via phone (360) 293-3101.

Contact Information

Primary practice address
7 Deye Ln Eastsound WA 98245-8578
Phone: (360) 293-3101
Fax: (360) 466-6139
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD15949 Hawaii
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A116531 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 5472 Alaska
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD60027949 Washington

Profile Details

NPI number 1174633069
LBN Legal business name Buxbaum, Evan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Aug 12th, 2022 - 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 1174633069 NPPES
Washington MEDICAID 8522369
Washington MEDICAID MD3127

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