Bruno, Christie Rose

Bruno, Christie Rose is an individual health care provider with primary practice located at 916 Koala Ave , Omak WA 98841-9576. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bruno, Christie Rose can be contacted via phone (509) 826-1800.

Contact Information

Primary practice address
916 Koala Ave Omak WA 98841-9576
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10003674 Washington

Profile Details

NPI number 1134117260
LBN Legal business name Bruno, Christie Rose
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Aug 22nd, 2013 - about 11 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 1134117260 NPPES
Washington Other 0212379 L&I
Washington Other 8942293 L&I
Washington MEDICAID 8321226 L&I

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