Tedford, Shawn Erik
Tedford, Shawn Erik is an individual health care provider with primary practice located at 1225 Campbell Way Ste 201 , Bremerton WA 98310-3323. He recently has 3 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 / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Tedford, Shawn Erik can be contacted via phone (360) 377-1355.Contact Information
Primary practice address
1225 Campbell Way Ste 201
Bremerton WA 98310-3323
Phone: (360) 377-1355
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA2007-0004 | New Mexico |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA2007-0004 | New Mexico |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA2007-0004 | New Mexico |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA10003756 | Washington |
Profile Details
| NPI number | 1063449072 |
|---|---|
| LBN Legal business name | Tedford, Shawn Erik |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2006 |
| Last updated | Mar 7th, 2023 - about 3 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 | 1063449072 | NPPES |
| Washington | Other | 205198 | LABOR & INDUSTRIES |
| Washington | MEDICAID | 1001498 | LABOR & INDUSTRIES |
| Washington | Other | 8918TE | LABOR & INDUSTRIES |
| Washington | Other | 8942304 | LABOR & INDUSTRIES |
| Washington | Other | P00330803 | LABOR & INDUSTRIES |
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