Ault, Kenneth B
Ault, Kenneth B is an individual health care provider with primary practice located at 8910 184Th Ave E , Bonney Lake WA 98391-8531. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Ault, Kenneth B can be contacted via phone (253) 863-7510.Contact Information
Primary practice address
8910 184Th Ave E
Bonney Lake WA 98391-8531
Phone: (253) 863-7510
Fax: (253) 863-5970
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MA00010271 | Washington |
Profile Details
| NPI number | 1700878402 |
|---|---|
| LBN Legal business name | Ault, Kenneth B |
| Credentials | LMP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1700878402 | NPPES |
| Washington | Other | 8929366 | CRIME VICTIMS |
| Washington | Other | 5632AU | CRIME VICTIMS |
| Washington | Other | 146261 | CRIME VICTIMS |
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