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Contact Information

ROBERT QUACKENBUSH MD PLLC
40L W POPLAR ST
WALLA WALLA, WA99362
 Phone: 509-525-2220
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for ROBERT QUACKENBUSH MD PLLC · (Female)

NPI Number 1043404163
Status Active
Credentials
Entity Individual
Enumeration date 08/31/2007
Last updated 01/28/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • WA License # MD00039975
  • WA Other DA4111 RRMC
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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