Lycan, Michael
Lycan, Michael is an sole proprietor health care provider with primary practice located at 8217 17Th St Se , Lake Stevens WA 98258-3839. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Lycan, Michael can be contacted via phone (503) 930-1828.Contact Information
Primary practice address
8217 17Th St Se
Lake Stevens WA 98258-3839
Phone: (503) 930-1828
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | A160711532 | Washington |
Profile Details
| NPI number | 1821662362 |
|---|---|
| LBN Legal business name | Lycan, Michael |
| Credentials | LAT, ATC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 19th, 2021 |
| Last updated | May 19th, 2021 - 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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