Grobe, Mystique D
Grobe, Mystique D is an sole proprietor health care provider with primary practice located at 851 Coho Way #309, Bellingham WA 98225-2067. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Other Service Providers / Naturopath. Other Service Providers / Naturopath is her primary health care specialty. Grobe, Mystique D can be contacted via phone (360) 527-2812.Contact Information
Primary practice address
851 Coho Way #309
Bellingham WA 98225-2067
Phone: (360) 527-2812
Fax: (360) 734-3088
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Acupuncturist | 171100000X | AC00000225 | Washington |
| Other Service Providers / Naturopath | 175F00000X | NT00000713 | Washington |
Profile Details
| NPI number | 1790834653 |
|---|---|
| LBN Legal business name | Grobe, Mystique D |
| Credentials | ND,LAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Sep 13th, 2013 - about 11 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 | 1790834653 | NPPES |
| Other | 912061822 | FED TAX ID | |
| Other | AC00000225 | FED TAX ID | |
| Other | NT00000713 | FED TAX ID |
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