Komanetz, Michael R

Komanetz, Michael R is an individual health care provider with primary practice located at 37624 Se Fury St Ste 101, Snoqualmie WA 98065-9680. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Komanetz, Michael R can be contacted via phone (425) 888-2016.

Contact Information

Primary practice address
37624 Se Fury St Ste 101 Snoqualmie WA 98065-9680
Phone: (425) 888-2016
Fax: (206) 320-5170
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP60577565 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP60577565 Washington

Profile Details

NPI number 1306216734
LBN Legal business name Komanetz, Michael R
Credentials MSN ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2015
Last updated Oct 7th, 2020 - about 4 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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