Marchesseault, Jean Edward

Marchesseault, Jean Edward is an individual health care provider with primary practice located at 12606 E Mission Ave , Spokane Valley WA 99216-3421. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Marchesseault, Jean Edward can be contacted via phone (509) 473-5723.

Contact Information

Primary practice address
12606 E Mission Ave Spokane Valley WA 99216-3421
Phone: (509) 473-5723
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X CRNA1654 California

Profile Details

NPI number 1801857818
LBN Legal business name Marchesseault, Jean Edward
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Dec 5th, 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 1801857818 NPPES
California MEDICAID RN403089

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