Delacruz, Eileen

Delacruz, Eileen is an individual health care provider with primary practice located at 4410 106Th St Sw , Mukilteo WA 98275-4700. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Delacruz, Eileen can be contacted via phone (425) 493-6004.

Contact Information

Primary practice address
4410 106Th St Sw Mukilteo WA 98275-4700
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 33533 Washington

Profile Details

NPI number 1538137435
LBN Legal business name Delacruz, Eileen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Dec 11th, 2012 - about 13 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 1538137435 NPPES
Washington MEDICAID 1012722

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