Rodgers, Michelle Lynn

Rodgers, Michelle Lynn is an individual health care provider with primary practice located at 24920 104Th Ave Se , Kent WA 98030. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Rodgers, Michelle Lynn can be contacted via phone (425) 690-3420.

Contact Information

Primary practice address
24920 104Th Ave Se Kent WA 98030
Phone: (425) 690-3420
Fax: (425) 690-9420
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA60570863 Washington
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA60570863 Washington

Profile Details

NPI number 1043456684
LBN Legal business name Rodgers, Michelle Lynn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2009
Last updated Mar 26th, 2020 - about 5 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 1043456684 NPPES
Washington Other G8963551 MEDICARE
Washington MEDICAID 2049501 MEDICARE

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