Fenlon, Amy
Fenlon, Amy is an individual health care provider with primary practice located at 1728 W Marine View Dr , Everett WA 98201-2094. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Fenlon, Amy can be contacted via phone (425) 339-5453.Contact Information
Primary practice address
1728 W Marine View Dr
Everett WA 98201-2094
Phone: (425) 339-5453
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | LW00004427 | Washington |
Profile Details
| NPI number | 1588735831 |
|---|---|
| LBN Legal business name | Fenlon, Amy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588735831 | NPPES |
| Washington | MEDICAID | 2017375 |
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