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Contact Information

MEGAN L CHARBONEAU, MD
3801 5TH ST SE
SUITE 110
PUYALLUP, WA98374-2106
 Phone: 253-845-9585
 Fax: 253-848-1126
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MEGAN L CHARBONEAU · (Female)

NPI Number 1922114701
Status Active
Credentials MD
Entity Individual
Enumeration date 08/22/2006
Last updated 07/22/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • WA License # BC60578430
  • WI License # 52937
  • WI Medicaid 1033233374
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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