Beardemphl, Michelle Gean

Beardemphl, Michelle Gean is an individual health care provider with primary practice located at 4205 Castlevale Rd , Yakima WA 98908-5603. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Beardemphl, Michelle Gean can be contacted via phone (509) 576-0100.

Contact Information

Primary practice address
4205 Castlevale Rd Yakima WA 98908-5603
Phone: (509) 576-0100
Fax: (509) 576-0101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT00007565 Washington

Profile Details

NPI number 1992775498
LBN Legal business name Beardemphl, Michelle Gean
Credentials M.S., P.T.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Jul 6th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992775498 NPPES
Washington Other 3790BE REGENCE
Washington Other 8940289 REGENCE
Washington Other 0200945 REGENCE
Washington MEDICAID 8374415 REGENCE

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