Burrell, Leticia Jo

Burrell, Leticia Jo is an sole proprietor health care provider with primary practice located at 124 E Short Ave , Spokane WA 99202-1555. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Burrell, Leticia Jo can be contacted via phone (509) 838-4651.

Contact Information

Primary practice address
124 E Short Ave Spokane WA 99202-1555
Phone: (509) 838-4651
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Other Service Providers / Peer Specialist 175T00000X CG61031957 Washington

Profile Details

NPI number 1447890512
LBN Legal business name Burrell, Leticia Jo
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 7th, 2020
Last updated Feb 3rd, 2020 - about 5 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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