Hanig, Phyllis Tenenbaum
Hanig, Phyllis Tenenbaum is an sole proprietor health care provider with primary practice located at 1603 Cooper Point Rd Nw , Olympia WA 98502-8325. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Hanig, Phyllis Tenenbaum can be contacted via phone (360) 451-1841.Contact Information
Primary practice address
1603 Cooper Point Rd Nw
Olympia WA 98502-8325
Phone: (360) 451-1841
Fax: (360) 754-0666
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP30002431 | Washington |
Profile Details
NPI number | 1801927280 |
---|---|
LBN Legal business name | Hanig, Phyllis Tenenbaum |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 8th, 2007 |
Last updated | Mar 27th, 2017 - about 8 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 | 1801927280 | NPPES |
Washington | MEDICAID | 9607417 |
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