Bladek, Suzanne K

Bladek, Suzanne K is an individual health care provider with primary practice located at 355 Nw Richmond Beach Rd , Shoreline WA 98177-3101. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Bladek, Suzanne K can be contacted via phone (206) 546-5181.

Contact Information

Primary practice address
355 Nw Richmond Beach Rd Shoreline WA 98177-3101
Phone: (206) 546-5181
Fax: (206) 546-6575
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP30003959 Washington

Profile Details

NPI number 1033218797
LBN Legal business name Bladek, Suzanne K
Credentials APRN, BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Apr 5th, 2010 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033218797 NPPES
Washington MEDICAID 9619313
Washington Other P00420668

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