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
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MA00012777 | Washington |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1942404470 | NPPES |
Washington | Other | 4424LO | REGENCE PROVIDER NUMBER |
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