Vaughn, Justin T
Vaughn, Justin T is an individual health care provider with primary practice located at 9040 Jackson Ave Madigan Army Medical Center , Tacoma WA 98431-0001. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Vaughn, Justin T can be contacted via phone (253) 968-1110.Contact Information
Primary practice address
9040 Jackson Ave Madigan Army Medical Center
Tacoma WA 98431-0001
Phone: (253) 968-1110
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / General Practice | 163WG0000X | RN00162696 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | AP300007207 | Washington |
Profile Details
| NPI number | 1568412096 |
|---|---|
| LBN Legal business name | Vaughn, Justin T |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Aug 21st, 2024 - about 2 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 | 1568412096 | NPPES |
| Washington | Other | 3350VA | INDIVIDUAL BLUE SHIELD |
| Washington | Other | 0039515 | INDIVIDUAL BLUE SHIELD |
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