Shkurkin, Ekaterina Vladimirovna
Shkurkin, Ekaterina Vladimirovna is an sole proprietor health care provider with primary practice located at 677 Woodland Square Loop Se , Lacey WA 98503-1000. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Shkurkin, Ekaterina Vladimirovna can be contacted via phone (360) 789-6248.Contact Information
Primary practice address
677 Woodland Square Loop Se
Lacey WA 98503-1000
Phone: (360) 789-6248
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LW00005230 | Washington |
Profile Details
| NPI number | 1386986313 |
|---|---|
| LBN Legal business name | Shkurkin, Ekaterina Vladimirovna |
| Credentials | PHD, MSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 15th, 2013 |
| Last updated | Jul 9th, 2015 - about 10 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 | 1386986313 | NPPES |
| Washington | Other | G8934628 | MEDICARE PTAN |
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