Ito, Siri Eiko

Ito, Siri Eiko is an individual health care provider with primary practice located at 14701 179Th Ave Se , Monroe WA 98272-1108. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Ito, Siri Eiko can be contacted via phone (360) 794-1447.

Contact Information

Primary practice address
14701 179Th Ave Se Monroe WA 98272-1108
Fax: (360) 794-1485
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00037809 Washington

Profile Details

NPI number 1184691370
LBN Legal business name Ito, Siri Eiko
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Sep 12th, 2013 - about 11 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 1184691370 NPPES
Washington MEDICAID 8276347

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