Soulek, Sandra J
Soulek, Sandra J is an individual health care provider with primary practice located at 560 Gage Blvd Suite 102, Richland WA 99352. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Soulek, Sandra J can be contacted via phone (509) 942-3135.Contact Information
Primary practice address
560 Gage Blvd Suite 102
Richland WA 99352
Phone: (509) 942-3135
Fax: (509) 627-1188
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA10004233 | Washington |
Profile Details
| NPI number | 1467543355 |
|---|---|
| LBN Legal business name | Soulek, Sandra J |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Sep 27th, 2013 - about 11 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 | 1467543355 | NPPES |
| Washington | Other | 0242335 | LABOR & INDUSTRIES |
| Washington | MEDICAID | 1467543355 | LABOR & INDUSTRIES |
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