Quayle, Christian Michael
Quayle, Christian Michael is an sole proprietor health care provider with primary practice located at 15418 Main St Suite 301, Mill Creek WA 98012-9030. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Quayle, Christian Michael can be contacted via phone (425) 385-3262.Contact Information
Primary practice address
15418 Main St Suite 301
Mill Creek WA 98012-9030
Phone: (425) 385-3262
Fax: (425) 357-0924
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | WA 1303 | Washington |
Profile Details
| NPI number | 1558438952 |
|---|---|
| LBN Legal business name | Quayle, Christian Michael |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1558438952 | NPPES |
| Washington | MEDICAID | 7079452 |
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