Illich, Lisa L

Illich, Lisa L is an individual health care provider with primary practice located at 1100 9Th Ave , Seattle WA 98101-2756. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Illich, Lisa L can be contacted via phone (206) 223-6600.

Contact Information

Primary practice address
1100 9Th Ave Seattle WA 98101-2756
Phone: (206) 223-6600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X LD00001205 Washington

Profile Details

NPI number 1861467839
LBN Legal business name Illich, Lisa L
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Apr 10th, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861467839 NPPES
Washington MEDICAID 8461691
Washington Other P09824
Washington Other JU8117

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