Therkildsen, Dana Shay
Therkildsen, Dana Shay is an individual health care provider with primary practice located at 1 Boone Rd , Bremerton WA 98312-1894. She recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as her primary health care specialty. Therkildsen, Dana Shay can be contacted via phone (360) 475-4887.Contact Information
Primary practice address
1 Boone Rd
Bremerton WA 98312-1894
Phone: (360) 475-4887
Fax: (360) 475-4522
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
| NPI number | 1003944836 |
|---|---|
| LBN Legal business name | Therkildsen, Dana Shay |
| Credentials | IDC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2007 |
| Last updated | Nov 14th, 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 | 1003944836 | NPPES |
| Other | 1710I1002X | INDEPENDENT DUTY CORPSMAN |
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