Funseth, Anita L.

Funseth, Anita L. is an sole proprietor health care provider with primary practice located at 1318 Washington Way Ste B , Longview WA 98632-3974. 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. Funseth, Anita L. can be contacted via phone (360) 425-8909.

Contact Information

Primary practice address
1318 Washington Way Ste B Longview WA 98632-3974
Phone: (360) 425-8909
Fax: (360) 425-6905
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA00009138 Washington

Profile Details

NPI number 1679790851
LBN Legal business name Funseth, Anita L.
Credentials L.M.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2007
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679790851 NPPES
Washington Other 188330 DEPT OF LABOR & INDS.

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