Larsen, Rachael A

Larsen, Rachael A is an sole proprietor health care provider with primary practice located at 860 S 48Th St , Tacoma WA 98408-5758. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Larsen, Rachael A can be contacted via phone (206) 941-5774.

Contact Information

Primary practice address
860 S 48Th St Tacoma WA 98408-5758
Fax: (253) 404-0801
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X MW353 Florida
Other Service Providers / Midwife 176B00000X 60922648 Washington

Profile Details

NPI number 1679095590
LBN Legal business name Larsen, Rachael A
Credentials Licensed Midwife (LM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2017
Last updated May 18th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679095590 NPPES
Washington MEDICAID 2156269

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