Bethune, Marieke Lauren
Bethune, Marieke Lauren is an individual health care provider with primary practice located at 147 Vista Del Monte , Los Gatos CA 95030-6335. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Bethune, Marieke Lauren can be contacted via phone (408) 358-0201.Contact Information
Primary practice address
147 Vista Del Monte
Los Gatos CA 95030-6335
Phone: (408) 358-0201
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT17451 | California |
Profile Details
| NPI number | 1710436563 |
|---|---|
| LBN Legal business name | Bethune, Marieke Lauren |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2016 |
| Last updated | Mar 12th, 2020 - about 4 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 | 1710436563 | NPPES |
| California | MEDICAID | 90571465F |
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