Martin, Tewana Y.
Martin, Tewana Y. is an individual health care provider with primary practice located at 17500 Se 392Nd St , Auburn WA 98092-9705. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Martin, Tewana Y. can be contacted via phone (253) 939-6648.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CP00003063 | Washington |
Profile Details
| NPI number | 1710157292 |
|---|---|
| LBN Legal business name | Martin, Tewana Y. |
| Credentials | CDP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 11th, 2008 |
| Last updated | Mar 11th, 2008 - about 16 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 | 1710157292 | NPPES |
| Washington | Other | CP00003063 | LICENSE |
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