Konshuk, Ketarae Ann
Konshuk, Ketarae Ann is an sole proprietor health care provider with primary practice located at 619 W Hazel St , Mount Vernon WA 98273-4827. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Konshuk, Ketarae Ann can be contacted via phone (360) 610-1693.Contact Information
Primary practice address
619 W Hazel St
Mount Vernon WA 98273-4827
Phone: (360) 610-1693
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MA-19764 | Washington |
Profile Details
| NPI number | 1992912331 |
|---|---|
| LBN Legal business name | Konshuk, Ketarae Ann |
| Credentials | LMP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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