Bresaw, Lois
Bresaw, Lois is an sole proprietor health care provider with primary practice located at 20700 Bond Rd Ne Bldg B , Poulsbo WA 98370-9099. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Bresaw, Lois can be contacted via phone (360) 697-2199.Contact Information
Primary practice address
20700 Bond Rd Ne Bldg B
Poulsbo WA 98370-9099
Phone: (360) 697-2199
Fax: (360) 779-5760
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD00024914 | Washington |
Profile Details
| NPI number | 1720262272 |
|---|---|
| LBN Legal business name | Bresaw, Lois |
| Credentials | MD INC PS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2007 |
| Last updated | May 21st, 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 | 1720262272 | NPPES |
| Washington | MEDICAID | 1130269 |
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