Bulldis-Frost, Nicole Michelle

Bulldis-Frost, Nicole Michelle is an sole proprietor health care provider with primary practice located at 22015 State Route 410 E , Bonney Lake WA 98391-4241. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Bulldis-Frost, Nicole Michelle can be contacted via phone (253) 891-9109.

Contact Information

Primary practice address
22015 State Route 410 E Bonney Lake WA 98391-4241
Phone: (253) 891-9109
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA00022490 Washington

Profile Details

NPI number 1770609422
LBN Legal business name Bulldis-Frost, Nicole Michelle
Credentials L.M.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2007
Last updated Jul 8th, 2007 - about 18 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 1770609422 NPPES
Other 0212602 WC LNI

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