Johann, Mary Elsbeth
Johann, Mary Elsbeth is an individual health care provider with primary practice located at 505 S 336Th St Ste 500 , Federal Way WA 98003-8300. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Johann, Mary Elsbeth can be contacted via phone (206) 962-3535.Contact Information
Primary practice address
505 S 336Th St Ste 500
Federal Way WA 98003-8300
Phone: (206) 962-3535
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP30003207 | Washington |
Profile Details
| NPI number | 1346228301 |
|---|---|
| LBN Legal business name | Johann, Mary Elsbeth |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2006 |
| Last updated | Oct 29th, 2019 - about 5 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 | 1346228301 | NPPES |
| Washington | MEDICAID | 1346228301 |
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