Shores, Misty D
Shores, Misty D is an individual health care provider with primary practice located at 5628 N Division St Ste D1 , Spokane WA 99208-1268. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Shores, Misty D can be contacted via phone (509) 484-8069.Contact Information
Primary practice address
5628 N Division St Ste D1
Spokane WA 99208-1268
Phone: (509) 484-8069
Fax: (509) 462-4086
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | LD00003521 | Washington |
Profile Details
| NPI number | 1619197399 |
|---|---|
| LBN Legal business name | Shores, Misty D |
| Credentials | AU.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1619197399 | NPPES |
| Washington | MEDICAID | 8377079 |
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