Everett, Worth

Everett, Worth is an individual health care provider with primary practice located at 1415 E Kincaid Street , Mount Vernon WA 98274-9126. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Everett, Worth can be contacted via phone (360) 424-4111.

Contact Information

Primary practice address
1415 E Kincaid Street Mount Vernon WA 98274-9126
Phone: (360) 424-4111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD072324L Pennsylvania
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD48800 Washington

Profile Details

NPI number 1356380877
LBN Legal business name Everett, Worth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Sep 8th, 2008 - about 18 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 1356380877 NPPES
Pennsylvania MEDICAID 0018307500001
Pennsylvania MEDICAID 8503526

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