Balboa, Mariel Liane
Balboa, Mariel Liane is an individual health care provider with primary practice located at 15418 Main St Ste 200 , Mill Creek WA 98012-9030. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Balboa, Mariel Liane can be contacted via phone (425) 225-8000.Contact Information
Primary practice address
15418 Main St Ste 200
Mill Creek WA 98012-9030
Phone: (425) 225-8000
Fax: (142) 522-5802
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OP61416306 | Washington |
Profile Details
| NPI number | 1326676248 |
|---|---|
| LBN Legal business name | Balboa, Mariel Liane |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2020 |
| Last updated | Oct 4th, 2023 - about last year |
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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