Cunningham, Carla Mae
Cunningham, Carla Mae is an individual health care provider with primary practice located at 18404 121St St E , Bonney Lake WA 98391-8109. 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. Cunningham, Carla Mae can be contacted via phone (253) 365-2116.Contact Information
Primary practice address
18404 121St St E
Bonney Lake WA 98391-8109
Phone: (253) 365-2116
Fax: (253) 862-0661
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MA00010645 | Washington |
Profile Details
| NPI number | 1457575987 |
|---|---|
| LBN Legal business name | Cunningham, Carla Mae |
| Credentials | LMP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2007 |
| Last updated | Feb 23rd, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457575987 | NPPES |
| Washington | Other | 0203937 | L&I PROVIDER |
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