Cicarelli, Lydia Catherine

Cicarelli, Lydia Catherine is an sole proprietor health care provider with primary practice located at 901 N Monroe St Ste 201 , Spokane WA 99201-2148. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Cicarelli, Lydia Catherine can be contacted via phone (509) 608-8816.

Contact Information

Primary practice address
901 N Monroe St Ste 201 Spokane WA 99201-2148
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X CG61227010 Washington

Profile Details

NPI number 1407515026
LBN Legal business name Cicarelli, Lydia Catherine
Credentials CPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 10th, 2021
Last updated Dec 10th, 2021 - about 4 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 1407515026 NPPES
Washington MEDICAID CG61227010

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