Pease, Benjie Russell
Pease, Benjie Russell is an individual health care provider with primary practice located at 1830 Bickford Ave Suite 209, Snohomish WA 98290-1749. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is his primary health care specialty. Pease, Benjie Russell can be contacted via phone (360) 568-7774.Contact Information
Primary practice address
1830 Bickford Ave Suite 209
Snohomish WA 98290-1749
Phone: (360) 568-7774
Fax: (360) 568-7779
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 60078673 | Washington |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 225XH1200X | OT60078673 | Washington |
Profile Details
NPI number | 1851532873 |
---|---|
LBN Legal business name | Pease, Benjie Russell |
Credentials | MOT OTR/L |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 20th, 2009 |
Last updated | Sep 9th, 2020 - about 4 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 | 1851532873 | NPPES |
Washington | Other | 0326407 | L & I |
Washington | Other | 0326420 | L & I |
Washington | Other | 0326397 | L & I |
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