Long, Kathleen Monica

Long, Kathleen Monica is an sole proprietor health care provider with primary practice located at 9631 Firdale Ave , Edmonds WA 98020-6519. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Long, Kathleen Monica can be contacted via phone (206) 618-6079.

Contact Information

Primary practice address
9631 Firdale Ave Edmonds WA 98020-6519
Fax:
Website:

Health care specialties

Profile Details

NPI number 1942404470
LBN Legal business name Long, Kathleen Monica
Credentials L.M.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2007
Last updated Jul 8th, 2007 - about 17 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 1942404470 NPPES
Washington Other 4424LO REGENCE PROVIDER NUMBER

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