Vaughan, Thomas Keith

Vaughan, Thomas Keith is an individual health care provider with primary practice located at 929 E Main Ave Ste 210, Puyallup WA 98372-3116. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Vaughan, Thomas Keith can be contacted via phone (253) 841-2453.

Contact Information

Primary practice address
929 E Main Ave Ste 210 Puyallup WA 98372-3116
Phone: (253) 841-2453
Fax: (253) 840-5519
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD00044588 Washington

Profile Details

NPI number 1922017235
LBN Legal business name Vaughan, Thomas Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Jan 28th, 2010 - about 16 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 1922017235 NPPES
Washington MEDICAID 7095656
Washington Other 0236932
Washington Other 53030 GROUP
Washington Other P00642708
Washington MEDICAID 8422511
Washington Other CS6844 GROUP

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