Doyle, Trudy Martine
Doyle, Trudy Martine is an individual health care provider with primary practice located at 1615 Delaware St , Longview WA 98632-2367. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Doyle, Trudy Martine can be contacted via phone (360) 747-5800.Contact Information
Primary practice address
1615 Delaware St
Longview WA 98632-2367
Phone: (360) 747-5800
Fax: (360) 575-3846
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA60422841 | Washington |
Profile Details
| NPI number | 1295008258 |
|---|---|
| LBN Legal business name | Doyle, Trudy Martine |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2012 |
| Last updated | Feb 11th, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295008258 | NPPES |
| Washington | MEDICAID | 2033083 | |
| Washington | MEDICAID | 500666190 |
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