Podrasky, Michael Philip
Podrasky, Michael Philip is an sole proprietor health care provider with primary practice located at 1420 4Th St Se Ste D, Puyallup WA 98372. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist is his primary health care specialty. Podrasky, Michael Philip can be contacted via phone (253) 848-2888.Contact Information
Primary practice address
1420 4Th St Se Ste D
Puyallup WA 98372
Phone: (253) 848-2888
Fax: (253) 848-3840
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist | 224P00000X | PS00000022 | Washington |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist | 222Z00000X | Washington |
Profile Details
| NPI number | 1487631586 |
|---|---|
| LBN Legal business name | Podrasky, Michael Philip |
| Credentials | CPO |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 29th, 2005 |
| Last updated | Nov 20th, 2007 - about 17 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 | 1487631586 | NPPES |
| Washington | MEDICAID | 9018763 |
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