Bethune, Mary
Bethune, Mary is an individual health care provider with primary practice located at 10452 Silverdale Way Nw , Silverdale WA 98383-9411. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Bethune, Mary can be contacted via phone (360) 692-3880.Contact Information
Primary practice address
10452 Silverdale Way Nw
Silverdale WA 98383-9411
Phone: (360) 692-3880
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA10003333 | Washington |
Profile Details
| NPI number | 1124157078 |
|---|---|
| LBN Legal business name | Bethune, Mary |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 5th, 2007 |
| Last updated | May 9th, 2008 - about 16 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 | 1124157078 | NPPES |
| Washington | MEDICAID | 8432239 |
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