Dvorak, Nikki Lee
Dvorak, Nikki Lee is an sole proprietor health care provider with primary practice located at 3701 Colby Ave , Everett WA 98201-4979. 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. Dvorak, Nikki Lee can be contacted via phone (425) 923-5433.Contact Information
Primary practice address
3701 Colby Ave
Everett WA 98201-4979
Phone: (425) 923-5433
Fax: (425) 322-5004
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MA00020416 | Washington |
Profile Details
NPI number | 1558323634 |
---|---|
LBN Legal business name | Dvorak, Nikki Lee |
Credentials | LMP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 4th, 2006 |
Last updated | Nov 26th, 2008 - about 17 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 | 1558323634 | NPPES |
Washington | Other | 0143536 | L & I |
Washington | Other | 6978-DV-COLBY AVE | L & I |
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