Radford, Corina Marie
Radford, Corina Marie is an individual health care provider with primary practice located at 1007 Koala Dr , Omak WA 98841-9247. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Radford, Corina Marie can be contacted via phone (509) 826-6191.Contact Information
Primary practice address
1007 Koala Dr
Omak WA 98841-9247
Phone: (509) 826-6191
Fax: (509) 826-3029
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X | Washington |
Profile Details
| NPI number | 1619686466 |
|---|---|
| LBN Legal business name | Radford, Corina Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2022 |
| Last updated | Nov 21st, 2022 - about 2 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 | 1619686466 | NPPES |
| Washington | MEDICAID | 1090983 |
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