Tysland, Shanon
Tysland, Shanon is an individual health care provider with primary practice located at 4030 Alderwood Mall Blvd , Lynnwood WA 98036. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Tysland, Shanon can be contacted via phone (425) 776-0803.Contact Information
Primary practice address
4030 Alderwood Mall Blvd
Lynnwood WA 98036
Phone: (425) 776-0803
Fax: (425) 776-0813
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | PT00008170 | Washington |
Profile Details
| NPI number | 1851398754 |
|---|---|
| LBN Legal business name | Tysland, Shanon |
| Credentials | RPTL |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Feb 10th, 2015 - about 9 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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