Berg, Laci
Berg, Laci is an sole proprietor health care provider with primary practice located at 606 120Th Ave Ne Ste D100 , Bellevue WA 98005. 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. Berg, Laci can be contacted via phone (425) 688-0223.Contact Information
Primary practice address
606 120Th Ave Ne Ste D100
Bellevue WA 98005
Phone: (425) 688-0223
Fax: (425) 688-0323
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MA00017583 | Washington |
Profile Details
| NPI number | 1497747083 |
|---|---|
| LBN Legal business name | Berg, Laci |
| Credentials | LMP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 18th, 2005 |
| Last updated | Jul 30th, 2018 - about 6 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 | 1497747083 | NPPES |
| Washington | Other | 0378345 | DEPT OF L&I |
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