Mccully, Letitia L
Mccully, Letitia L is an sole proprietor health care provider with primary practice located at 15812 E Indiana Ave , Spokane Valley WA 99216-1875. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mccully, Letitia L can be contacted via phone (509) 444-8200.Contact Information
Primary practice address
15812 E Indiana Ave
Spokane Valley WA 99216-1875
Phone: (509) 444-8200
Fax: (509) 444-7806
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA10004606 | Washington |
Profile Details
| NPI number | 1780613547 |
|---|---|
| LBN Legal business name | Mccully, Letitia L |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 2nd, 2006 |
| Last updated | Apr 12th, 2018 - about 6 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 | 1780613547 | NPPES |
| Washington | MEDICAID | 8388431 |
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