Beaudoin, Stacey Elizabeth
Beaudoin, Stacey Elizabeth is an individual health care provider with primary practice located at 1135 116Th Ave Ne Suite 500, Bellevue WA 98004. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Beaudoin, Stacey Elizabeth can be contacted via phone (425) 454-3938.Contact Information
Primary practice address
1135 116Th Ave Ne Suite 500
Bellevue WA 98004
Phone: (425) 454-3938
Fax: (425) 454-2568
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | LD00004422 | Washington |
Profile Details
| NPI number | 1861546913 |
|---|---|
| LBN Legal business name | Beaudoin, Stacey Elizabeth |
| Credentials | AUD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Apr 17th, 2008 - 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 | 1861546913 | NPPES |
| Washington | Other | 65043U | REGENCE BLUESHIELD |
| Washington | MEDICAID | 8476038 | REGENCE BLUESHIELD |
| Washington | Other | 0218801 | REGENCE BLUESHIELD |
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