Richert, Shauna M
Richert, Shauna M is an individual health care provider with primary practice located at 304 W Bay Dr Nw Suite 301, Olympia WA 98502-4958. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Richert, Shauna M can be contacted via phone (360) 413-8760.Contact Information
Primary practice address
304 W Bay Dr Nw Suite 301
Olympia WA 98502-4958
Phone: (360) 413-8760
Fax: (360) 413-8839
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD00035844 | Washington |
Profile Details
| NPI number | 1154321453 |
|---|---|
| LBN Legal business name | Richert, Shauna M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Oct 22nd, 2013 - about 11 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 | 1154321453 | NPPES |
| Washington | MEDICAID | 8221830 | |
| Washington | Other | GAB20354 |
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