Individual
ERIC M WASHYCHYN
Active
Individual
ERIC M WASHYCHYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1335
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010148866
BLUE SHIELD
ID
01
—
000010148868
BLUE SHIELD
ID
01
—
P00172265
RAILROAD MEDICARE
ID
01
—
PAQ00
BLUE CROSS
ID
01
—
PAQP7
BLUE CROSS
ID
Enumeration date
11/03/2005
Last updated
10/22/2007
Update your record
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