Oliver, David L

Oliver, David L is an individual health care provider with primary practice located at 1706 Washington Way , Longview WA 98632-2952. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Oliver, David L can be contacted via phone (360) 423-9580.

Contact Information

Primary practice address
1706 Washington Way Longview WA 98632-2952
Phone: (360) 423-9580
Fax: (360) 423-6230
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10001837 Washington

Profile Details

NPI number 1043217664
LBN Legal business name Oliver, David L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2005
Last updated Nov 21st, 2019 - about 7 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 1043217664 NPPES
Washington Other 0158033 LABOR & IND.
Washington Other 970025814 LABOR & IND.
Washington Other 8936700 LABOR & IND.
Washington MEDICAID 8330896 LABOR & IND.

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