Stacey-Robar, Judith E.

Stacey-Robar, Judith E. is an sole proprietor health care provider with primary practice located at 1851 Central Pl S Suite 123, Kent WA 98030-7514. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Stacey-Robar, Judith E. can be contacted via phone (253) 520-3060.

Contact Information

Primary practice address
1851 Central Pl S Suite 123 Kent WA 98030-7514
Phone: (253) 520-3060
Fax: (253) 859-0043
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP30006451 Washington

Profile Details

NPI number 1346306404
LBN Legal business name Stacey-Robar, Judith E.
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 30th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346306404 NPPES
Washington MEDICAID 9638511
Washington Other 227130100000
Washington Other 8307-01
Washington Other 5240ST
Washington Other 0007266542

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