Sherman Groda, Deborah Lynn
Sherman Groda, Deborah Lynn is an individual health care provider with primary practice located at 905 Squalicum Way Suite 101, Bellingham WA 98225-2076. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Sherman Groda, Deborah Lynn can be contacted via phone (360) 676-1470.Contact Information
Primary practice address
905 Squalicum Way Suite 101
Bellingham WA 98225-2076
Phone: (360) 676-1470
Fax: (360) 676-0377
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA60521708 | Washington |
Profile Details
NPI number | 1164601977 |
---|---|
LBN Legal business name | Sherman Groda, Deborah Lynn |
Credentials | PAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 29th, 2007 |
Last updated | Apr 4th, 2016 - about 9 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 | 1164601977 | NPPES |
Michigan | Other | 0A10115 | BCBSM GROUP |
Michigan | Other | 5601004851 | BCBSM GROUP |
Michigan | Other | CG9582 | BCBSM GROUP |
Michigan | Other | 1538192018 | BCBSM GROUP |
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