Eaton, Alice Audrey
Eaton, Alice Audrey is an sole proprietor health care provider with primary practice located at 3434 12Th Ave Ne , Olympia WA 98506-5175. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Eaton, Alice Audrey can be contacted via phone (360) 413-8364.Contact Information
Primary practice address
3434 12Th Ave Ne
Olympia WA 98506-5175
Phone: (360) 413-8364
Fax: (360) 413-8491
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD 00030157 | Washington |
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | MD 00030157 | Washington |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD16709 | Oregon |
Profile Details
| NPI number | 1255399333 |
|---|---|
| LBN Legal business name | Eaton, Alice Audrey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 1st, 2006 |
| Last updated | Jun 27th, 2023 - about last year |
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 | 1255399333 | NPPES |
| Oregon | MEDICAID | 036181 | |
| Oregon | Other | 93112982997006A008 | |
| Oregon | Other | F15106 | |
| Oregon | Other | 021993008 |
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