Deninno, John A.

Deninno, John A. is an sole proprietor health care provider with primary practice located at 7500 212Th St Sw Ste 105A, Edmonds WA 98026-7614. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Deninno, John A. can be contacted via phone (206) 363-4205.

Contact Information

Primary practice address
7500 212Th St Sw Ste 105A Edmonds WA 98026-7614
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY00000524 Washington

Profile Details

NPI number 1144370016
LBN Legal business name Deninno, John A.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2007
Last updated Dec 10th, 2016 - about 8 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 1144370016 NPPES
Washington MEDICAID 7096407

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