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Contact Information

CHRISTINE B ANDEREGG, PA-C
130 MARVIN RD SE
SUITE 112
LACEY, WA98503-6100
 Phone: 360-357-8822
 Fax: 360-413-1502
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CHRISTINE B ANDEREGG · (Female)

NPI # 1871537795
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 06/15/2006
Last updated 03/09/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • WA License # PA10003787
  • WA Medicaid 8394975
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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