Andrus, Maggie Jean
Andrus, Maggie Jean is an sole proprietor health care provider with primary practice located at 2808 Coventry Ln Sw , Tumwater WA 98512-0494. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Andrus, Maggie Jean can be contacted via phone (913) 653-9881.Contact Information
Primary practice address
2808 Coventry Ln Sw
Tumwater WA 98512-0494
Phone: (913) 653-9881
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 61090868 | Washington |
Profile Details
| NPI number | 1568070076 |
|---|---|
| LBN Legal business name | Andrus, Maggie Jean |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 21st, 2020 |
| Last updated | Jul 21st, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568070076 | NPPES |
| Washington | MEDICAID | WDL16B4J553B |
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