Sallas, Kenneth
Sallas, Kenneth is an sole proprietor health care provider with primary practice located at 202 N Division St Plaza 2, Suite 302, Auburn WA 98001-4939. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Sallas, Kenneth can be contacted via phone (253) 394-0125.Contact Information
Primary practice address
202 N Division St Plaza 2, Suite 302
Auburn WA 98001-4939
Phone: (253) 394-0125
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA10004745 | Washington |
Profile Details
| NPI number | 1609956895 |
|---|---|
| LBN Legal business name | Sallas, Kenneth |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 16th, 2006 |
| Last updated | May 1st, 2024 - about 6 months 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 | 1609956895 | NPPES |
| Washington | Other | PA9103236 | WASH STATE LICENSE |
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