Price, Stephen Wallingford
Price, Stephen Wallingford is an individual health care provider with primary practice located at 11521 Ne 128Th St Suite 100, Kirkland WA 98034-4317. 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. Price, Stephen Wallingford can be contacted via phone (425) 899-6800.Contact Information
Primary practice address
11521 Ne 128Th St Suite 100
Kirkland WA 98034-4317
Phone: (425) 899-6800
Fax: (425) 899-6808
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA10002267 | Washington |
Profile Details
| NPI number | 1134102312 |
|---|---|
| LBN Legal business name | Price, Stephen Wallingford |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2005 |
| Last updated | Jun 18th, 2009 - about 17 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 | 1134102312 | NPPES |
| Washington | Other | 127276 | LABOR & INDUSTRIES |
| Washington | MEDICAID | 8323016 | LABOR & INDUSTRIES |
| Washington | Other | P00163315 | LABOR & INDUSTRIES |
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