Alonzo, Mikayla E

Alonzo, Mikayla E is an individual health care provider with primary practice located at 1515 E Columbia St , Othello WA 99344-1846. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Alonzo, Mikayla E can be contacted via phone (509) 488-5256.

Contact Information

Primary practice address
1515 E Columbia St Othello WA 99344-1846
Fax: (509) 488-9939
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X DH61462182 Washington

Profile Details

NPI number 1003593294
LBN Legal business name Alonzo, Mikayla E
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2023
Last updated Jun 29th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003593294 NPPES
Washington Other DH61462182 DEPT. OF HEALTH

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