Habenicht, Tei

Habenicht, Tei is an individual health care provider with primary practice located at 4409 Nw Anderson Hill Rd , Silverdale WA 98383-6807. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Habenicht, Tei can be contacted via phone (360) 698-6630.

Contact Information

Primary practice address
4409 Nw Anderson Hill Rd Silverdale WA 98383-6807
Phone: (360) 698-6630
Fax: (360) 398-7002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA10004580 Washington

Profile Details

NPI number 1689749624
LBN Legal business name Habenicht, Tei
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2006
Last updated Apr 4th, 2012 - about 12 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 1689749624 NPPES
Washington Other 0277669 L&I
Washington MEDICAID 1037226 L&I

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