Buum, Roberta A

Buum, Roberta A is an individual health care provider with primary practice located at 521 E Mountain View Ave , Ellensburg WA 98926-3865. 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. Buum, Roberta A can be contacted via phone (509) 962-1414.

Contact Information

Primary practice address
521 E Mountain View Ave Ellensburg WA 98926-3865
Phone: (509) 962-1414
Fax: (509) 962-1408
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10003677 Washington

Profile Details

NPI number 1700830155
LBN Legal business name Buum, Roberta A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Jan 27th, 2011 - about 14 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 1700830155 NPPES
Washington MEDICAID 7118250
Washington Other 0226463

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