Reusch, Marilyn Jean

Reusch, Marilyn Jean is an individual health care provider with primary practice located at 1404 Central Ave S Suite 101, Kent WA 98032-7433. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Reusch, Marilyn Jean can be contacted via phone (206) 296-4586.

Contact Information

Primary practice address
1404 Central Ave S Suite 101 Kent WA 98032-7433
Phone: (206) 296-4586
Fax: (206) 205-8012
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X DH00002336 Washington

Profile Details

NPI number 1821161233
LBN Legal business name Reusch, Marilyn Jean
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Jul 9th, 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 1821161233 NPPES
Washington MEDICAID 5901103

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