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Individual
DR. EDWARD JOSEPH CHESNUTIS
Active
Individual
DR. EDWARD JOSEPH CHESNUTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO00000322
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0179830
IME
WA
05
—
1386804
—
WA
01
—
480003568
RAILROAD MEDICARE
WA
01
—
4810770001
CIGNA MEDICARE DMERC
WA
01
—
65650
DEPARTMENT OF L&I
WA
01
—
9054040
DSHS DME
WA
01
—
912094956
PRIVATE INSURANCE
WA
01
—
CH9020
REGENCE
WA
Enumeration date
10/24/2006
Last updated
06/18/2008
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