Nirider, Juanita Louise

Nirider, Juanita Louise is an sole proprietor health care provider with primary practice located at 4518 48 St Ct E , Tacoma WA 98443-2568. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Nirider, Juanita Louise can be contacted via phone (253) 820-4008.

Contact Information

Primary practice address
4518 48 St Ct E Tacoma WA 98443-2568
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X PT00003609 Washington

Profile Details

NPI number 1679634653
LBN Legal business name Nirider, Juanita Louise
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679634653 NPPES
Washington MEDICAID 7125743

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