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Contact Information

EVERETT CARDIOLOGY & ELECTROPHYSIOLOGY, P.S.
1330 ROCKEFELLER AVE
225
EVERETT, WA98201-1684
 Phone: 425-261-4910
 Fax: 425-261-4911
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Clinical Cardiac Electrophysiology

207RC0001X 11 Physician/Internal Medicine
 

Medical Specialty

261QM2500X
Indicates primary specialty

NPI Profile & details for EVERETT CARDIOLOGY ELECTROPHYSIOLOGY PS · (Female)

NPI Number 1528266103
Status Active
Credentials
Entity Individual
Enumeration date 07/05/2007
Last updated 11/19/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • WA License # MD00022810
  • WA License # PA10004886
  • WA Other 1005040 DSHS J. ROSE
  • WA Other 8435968 DSHS J.MATISTA
  • WA Other 1366435943 NPI, J.MATISTA
  • WA Other 1396749701 NPI, J.ROSE
  • WA Other 363A00000X TAXONOMY, J.MATISTA
  • WA Other 207RC0000X TAXONOMY, J.ROSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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