Fish, Sara
Fish, Sara is an individual health care provider with primary practice located at 748 14Th Ave , Longview WA 98632-2315. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Fish, Sara can be contacted via phone (360) 200-5419.Contact Information
Primary practice address
748 14Th Ave
Longview WA 98632-2315
Phone: (360) 200-5419
Fax: (360) 200-6736
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | CG61040690 | Washington |
Profile Details
| NPI number | 1518598374 |
|---|---|
| LBN Legal business name | Fish, Sara |
| Credentials | CPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2020 |
| Last updated | Sep 18th, 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 | 1518598374 | NPPES |
| Washington | MEDICAID | 2172514 |
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