Breuhaus, Alexandra Grace
Breuhaus, Alexandra Grace is an individual health care provider with primary practice located at 19020 33Rd Ave W Ste 210 , Lynnwood WA 98036-4748. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Breuhaus, Alexandra Grace can be contacted via phone (425) 563-1500.Contact Information
Primary practice address
19020 33Rd Ave W Ste 210
Lynnwood WA 98036-4748
Phone: (425) 563-1500
Fax: (425) 563-1374
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA61238106 | Washington |
Profile Details
NPI number | 1083153043 |
---|---|
LBN Legal business name | Breuhaus, Alexandra Grace |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 22nd, 2017 |
Last updated | Nov 21st, 2023 - about 2 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 | 1083153043 | NPPES |
Washington | MEDICAID | 2205668 |
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