Deshazo, Vicki A

Deshazo, Vicki A is an individual health care provider with primary practice located at 208 Bellevue Way Ne , Bellevue WA 98004-5720. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Deshazo, Vicki A can be contacted via phone (425) 455-5596.

Contact Information

Primary practice address

208 Bellevue Way Ne Bellevue WA 98004-5720

Phone: (425) 455-5596

Fax: (425) 451-3248

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Speech, Language and Hearing Service Providers / Audiologist	231H00000X	LD00002762	Washington

Profile Details

NPI number	1811940349
LBN Legal business name	Deshazo, Vicki A
Credentials
Entity	Individual
Sole proprietor ¹	No
Enumeration date	May 18th, 2006
Last updated	Oct 21st, 2013 - about 11 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

State	Type	Number	Issuer
All States	NPI	1811940349	NPPES
Washington	MEDICAID	1092881
Washington	Other	8450512

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