Pouliot, Dick Duane
Pouliot, Dick Duane is an sole proprietor health care provider with primary practice located at 1818 Grove St # A , Marysville WA 98270-4330. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Pouliot, Dick Duane can be contacted via phone (425) 280-1008.Contact Information
Primary practice address
1818 Grove St # A
Marysville WA 98270-4330
Phone: (425) 280-1008
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | M00004930 | Washington |
Profile Details
| NPI number | 1164565701 |
|---|---|
| LBN Legal business name | Pouliot, Dick Duane |
| Credentials | LMP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 14th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164565701 | NPPES |
| Washington | Other | 54890 | L&I NUMBER |
| Washington | Other | PO9881 | L&I NUMBER |
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