Swensen, Edward
Swensen, Edward is an individual health care provider with primary practice located at 3927 Rucker Ave , Everett WA 98201-4833. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Swensen, Edward can be contacted via phone (425) 339-5422.Contact Information
Primary practice address
3927 Rucker Ave
Everett WA 98201-4833
Phone: (425) 339-5422
Fax: (425) 339-5444
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA10003311 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA100003311 | Washington |
Profile Details
| NPI number | 1871560292 |
|---|---|
| LBN Legal business name | Swensen, Edward |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 3rd, 2006 |
| Last updated | Nov 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871560292 | NPPES |
| Washington | MEDICAID | 1005545 |
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