Tedla, Fantahun Mulugeta

Tedla, Fantahun Mulugeta is an individual health care provider with primary practice located at 3927 Rucker Ave , Everett WA 98201. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Tedla, Fantahun Mulugeta can be contacted via phone (425) 339-5422.

Contact Information

Primary practice address
3927 Rucker Ave Everett WA 98201
Phone: (425) 339-5422
Fax: (425) 339-5444
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 623 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA60464318 Washington

Profile Details

NPI number 1033548144
LBN Legal business name Tedla, Fantahun Mulugeta
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2013
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.

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