Haase, Mary Lou

Haase, Mary Lou is an individual health care provider with primary practice located at 129 Goldeneye Street Sw , Ocean Shores WA 98569. 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. Haase, Mary Lou can be contacted via phone (360) 581-5368.

Contact Information

Primary practice address
129 Goldeneye Street Sw Ocean Shores WA 98569
Phone: (360) 581-5368
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA00017761 Washington

Profile Details

NPI number 1538312830
LBN Legal business name Haase, Mary Lou
Credentials L.M.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2008
Last updated Oct 30th, 2008 - 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 1538312830 NPPES
Washington Other 0190249 DEPARTMENT OF LABOR AND INDUSTRIES

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