Wallace, Kent William
Wallace, Kent William is an individual health care provider with primary practice located at 1321 Colby Ave Medical Staff Office (Pmg), Everett WA 98201-1665. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Wallace, Kent William can be contacted via phone (425) 261-2000.Contact Information
Primary practice address
1321 Colby Ave Medical Staff Office (Pmg)
Everett WA 98201-1665
Phone: (425) 261-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA10000442 | Washington |
Profile Details
| NPI number | 1770662835 |
|---|---|
| LBN Legal business name | Wallace, Kent William |
| Credentials | PA-C, ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2006 |
| Last updated | Feb 6th, 2015 - about 11 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 | 1770662835 | NPPES |
| Washington | Other | 124775 | LABOR AND INDUSTRIES |
| Washington | Other | WA6512 | LABOR AND INDUSTRIES |
| Washington | Other | 8803430 | LABOR AND INDUSTRIES |
Popular Providers
-
Schulz, Troy Bryan
3102 Colby Ave , Everett WA 98201-4025 -
Yorkoski, Peter Francis
3726 Broadway Ste 201 , Everett WA 98201-3788 -
Hellman, Jeffrey M.
1321 Colby Ave , Everett WA 98201-1665 -
Mashita, Mark W.
1100 Pacific Ave Ste 300 , Everett WA 98201-4261 -
Stewart, Gregory Douglas
2424 122Nd St Sw B, Everett WA 98204-4744 -
Matista, John F
1330 Rockefeller Ave Suite 225, Everett WA 98201-1684 -
Riley, Shauna M
1321 Colby Ave , Everett WA 98201-1665 -
Tooley, Karen M
1330 Rockefeller Ave Suite 400, Everett WA 98201-1684