Rasmussen, David Grant
Rasmussen, David Grant is an sole proprietor health care provider with primary practice located at 16030 Bothell Everett Hwy Suite 295, Mill Creek WA 98012-1741. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Rasmussen, David Grant can be contacted via phone (425) 337-7133.Contact Information
Primary practice address
16030 Bothell Everett Hwy Suite 295
Mill Creek WA 98012-1741
Phone: (425) 337-7133
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1266 | Washington |
Profile Details
| NPI number | 1699830364 |
|---|---|
| LBN Legal business name | Rasmussen, David Grant |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 23rd, 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 | 1699830364 | NPPES |
| Washington | MEDICAID | 70281175 | |
| Washington | Other | 6705900 | |
| Washington | Other | 11608357 |
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