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NPI Code Detail

MEDICARE: MR. CHRISTOPHER PETER CAWILE NAEYAERT

MEDICARE: MR. CHRISTOPHER PETER CAWILE NAEYAERT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11710I1002XIndependent Duty Corpsman
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1598007635
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHRISTOPHER PETER CAWILE NAEYAERT
Provider Business Mailing Address
First Line : 541 W 22ND ST
Second Line :
City : SAN PEDRO
State : CA
Zip : 90731-5901
Country : US
Telephone Number : 310-622-5013
Fax Number :
Provider Business Practice Location Address
First Line : 4311 11TH AVE NE STE 200
Second Line :
City : SEATTLE
State : WA
Zip : 98105-6367
Country : US
Telephone Number : 206-616-4001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2013
Last Update Date : 02/22/2026

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