Harris, Sandra Rae
Harris, Sandra Rae is an sole proprietor health care provider with primary practice located at 24223 9Th Ave S , Des Moines WA 98198-3881. She recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as her primary health care specialty. Harris, Sandra Rae can be contacted via phone (206) 878-2872.Contact Information
Primary practice address
24223 9Th Ave S
Des Moines WA 98198-3881
Phone: (206) 878-2872
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Legal Medicine | 173000000X | MA00012501 | Washington |
Profile Details
| NPI number | 1902978034 |
|---|---|
| LBN Legal business name | Harris, Sandra Rae |
| Credentials | L.M.P. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 14th, 2006 |
| Last updated | Aug 4th, 2010 - about 15 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 | 1902978034 | NPPES |
| Washington | Other | MA00012501 | STATE LICENSE |
| Washington | Other | 6019476590010001 | STATE LICENSE |
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