Ravani, Rhonda Jo

Ravani, Rhonda Jo is an individual health care provider with primary practice located at 450 Nw Gilman Blvd #203, Issaquah WA 98027-2483. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Ravani, Rhonda Jo can be contacted via phone (425) 454-3938.

Contact Information

Primary practice address
450 Nw Gilman Blvd #203 Issaquah WA 98027-2483
Fax: (425) 837-1460
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X AP30004254 Washington

Profile Details

NPI number 1154303667
LBN Legal business name Ravani, Rhonda Jo
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154303667 NPPES
Washington MEDICAID 9621525
Washington Other 121963

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