Heenan, Lisa Marie

Heenan, Lisa Marie is an sole proprietor health care provider with primary practice located at 4008 W Lake Samm Pkwy Ne Apt D1 , Redmond WA 98052-5627. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Heenan, Lisa Marie can be contacted via phone (425) 463-5476.

Contact Information

Primary practice address
4008 W Lake Samm Pkwy Ne Apt D1 Redmond WA 98052-5627
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X MA60199222 Washington

Profile Details

NPI number 1336444249
LBN Legal business name Heenan, Lisa Marie
Credentials MASSAGE PRACTIONER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2011
Last updated Jan 24th, 2011 - about 13 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 1336444249 NPPES
Washington Other MA0199222 MASSAGE THERAPIST

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