Maki, Alida Diane
Maki, Alida Diane is an sole proprietor health care provider with primary practice located at 15 Fairview Rd , Grays River WA 98621-9724. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Maki, Alida Diane can be contacted via phone (360) 465-2392.Contact Information
Primary practice address
15 Fairview Rd
Grays River WA 98621-9724
Phone: (360) 465-2392
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Community Health | 163WC1500X | Oregon |
Profile Details
| NPI number | 1154472363 |
|---|---|
| LBN Legal business name | Maki, Alida Diane |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 15th, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1154472363 | NPPES |
| Oregon | MEDICAID | 098102 |
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