Madlung, Courtney Janelle

Madlung, Courtney Janelle is an individual health care provider with primary practice located at 15324 Main St E Ste B , Sumner WA 98390-2698. 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. Madlung, Courtney Janelle can be contacted via phone (253) 863-5323.

Contact Information

Primary practice address
15324 Main St E Ste B Sumner WA 98390-2698
Phone: (253) 863-5323
Fax: (253) 863-2034
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA00019055 Washington

Profile Details

NPI number 1043385438
LBN Legal business name Madlung, Courtney Janelle
Credentials L.M.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2006
Last updated Jul 8th, 2007 - about 19 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 1043385438 NPPES
Washington Other 91-1580839 GROUP TAX ID#
Washington Other 602414363 GROUP TAX ID#
Washington Other MA00019055 GROUP TAX ID#
Washington Other 183864 GROUP TAX ID#

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