Hendrickx, Michelle Lynne
Hendrickx, Michelle Lynne is an individual health care provider with primary practice located at 3209 S 23Rd St Ste. 340, Tacoma WA 98405-1602. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hendrickx, Michelle Lynne can be contacted via phone (253) 272-8148.Contact Information
Primary practice address
3209 S 23Rd St Ste. 340
Tacoma WA 98405-1602
Phone: (253) 272-8148
Fax: (253) 404-0506
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP30005252 | Washington |
Profile Details
| NPI number | 1346213014 |
|---|---|
| LBN Legal business name | Hendrickx, Michelle Lynne |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2006 |
| Last updated | Oct 17th, 2017 - about 7 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 | 1346213014 | NPPES |
| Washington | Other | AP30005252 | WA LICENSE |
| Washington | MEDICAID | 9630898 | WA LICENSE |
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