Organization
EDWARD J CHESNUTIS, DPM, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD J CHESNUTIS DPM (OWNER)
(425) 379-9999
Entity
Organization
Contact information
Practice address
10305 19TH AVE SE STE A, EVERETT, WA 98208-4252
(425) 379-9999
(425) 741-2042
Mailing address
10305 19TH AVE SE STE A, EVERETT, WA 98208-4252
(425) 379-9999
(425) 741-2042
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
602086598
WA
335E00000X
Prosthetic/Orthotic Supplier
Primary
602086598
WA
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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