Individual
DR. EDWARD JOSEPH CHESNUTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
10305 19TH AVE SE, SUITE A, EVERETT, WA 98208-4218
(425) 379-9999
(425) 741-2042
Mailing address
10305 19TH AVE SE, SUITE A, EVERETT, WA 98208-4218
(425) 379-9999
(425) 741-2042
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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