Fisk, Charles Randolph
Fisk, Charles Randolph is an sole proprietor health care provider with primary practice located at 18124 114Th St E , Bonney Lake WA 98391-5168. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Fisk, Charles Randolph can be contacted via phone (253) 229-5819.Contact Information
Primary practice address
18124 114Th St E
Bonney Lake WA 98391-5168
Phone: (253) 229-5819
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MA00017977 | Washington |
Profile Details
| NPI number | 1275719494 |
|---|---|
| LBN Legal business name | Fisk, Charles Randolph |
| Credentials | LMP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2008 |
| Last updated | Nov 18th, 2010 - about 14 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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