Pavey, Joan

Pavey, Joan is an individual health care provider with primary practice located at 101 E 26Th St , Tacoma WA 98421-1108. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Pavey, Joan can be contacted via phone (253) 597-4550.

Contact Information

Primary practice address
101 E 26Th St Tacoma WA 98421-1108
Fax: (253) 597-4556
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X DH00004908 Washington

Profile Details

NPI number 1043221211
LBN Legal business name Pavey, Joan
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Jul 8th, 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 1043221211 NPPES
Washington MEDICAID 5901863

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