Siegel, Bonita Shuffain
Siegel, Bonita Shuffain is an individual health care provider with primary practice located at 15029 Bothell Way Ne Suite 300, Lake Forest Park WA 98155-7663. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Siegel, Bonita Shuffain can be contacted via phone (206) 364-0075.Contact Information
Primary practice address
15029 Bothell Way Ne Suite 300
Lake Forest Park WA 98155-7663
Phone: (206) 364-0075
Fax: (206) 364-7607
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1629050745 |
|---|---|
| LBN Legal business name | Siegel, Bonita Shuffain |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1629050745 | NPPES |
| Washington | Other | LW00004023 | SOCIAL WORKER LICENSE # |
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