Moses, Tai Chinnock
Moses, Tai Chinnock is an individual health care provider with primary practice located at 1717 S J St , Tacoma WA 98405-4933. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Moses, Tai Chinnock can be contacted via phone (844) 364-2778.Contact Information
Primary practice address
1717 S J St
Tacoma WA 98405-4933
Phone: (844) 364-2778
Fax: (253) 428-8440
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 58497 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA58497 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA61205830 | Washington |
Profile Details
| NPI number | 1306474135 |
|---|---|
| LBN Legal business name | Moses, Tai Chinnock |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2020 |
| Last updated | Nov 24th, 2021 - about 5 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 | 1306474135 | NPPES |
| Washington | MEDICAID | 2191169 |
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