Geffken, Mara Lea

Geffken, Mara Lea is an individual health care provider with primary practice located at 757 E Holland Ave , Spokane WA 99218-1257. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Geffken, Mara Lea can be contacted via phone (509) 444-6367.

Contact Information

Primary practice address
757 E Holland Ave Spokane WA 99218-1257
Fax: (509) 444-6371
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA10004913 Washington

Profile Details

NPI number 1942289392
LBN Legal business name Geffken, Mara Lea
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2006
Last updated Mar 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942289392 NPPES
Washington MEDICAID 8440760

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