House, Tina Marie

House, Tina Marie is an sole proprietor health care provider with primary practice located at 109 Se 101St Ave , Vancouver WA 98664-3907. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. House, Tina Marie can be contacted via phone (360) 256-6748.

Contact Information

Primary practice address
109 Se 101St Ave Vancouver WA 98664-3907
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X MA00023564 Washington

Profile Details

NPI number 1073712170
LBN Legal business name House, Tina Marie
Credentials L.M.P
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2007
Last updated Jul 17th, 2007 - about 17 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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