Wolcott, Wesley M

Wolcott, Wesley M is an individual health care provider with primary practice located at 835 Se Bishop Blvd , Pullman WA 99163-5512. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Wolcott, Wesley M can be contacted via phone (509) 332-2541.

Contact Information

Primary practice address
835 Se Bishop Blvd Pullman WA 99163-5512
Phone: (509) 332-2541
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP30005662 Washington

Profile Details

NPI number 1639289929
LBN Legal business name Wolcott, Wesley M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jan 31st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639289929 NPPES
Washington MEDICAID 9630989
Washington Other 911603497

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