Vidan, Ted
Vidan, Ted is an sole proprietor health care provider with primary practice located at 29633 Marine View Dr Sw , Federal Way WA 98023-3400. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Vidan, Ted can be contacted via phone (253) 945-1004.Contact Information
Primary practice address
29633 Marine View Dr Sw
Federal Way WA 98023-3400
Phone: (253) 945-1004
Fax: (253) 945-1004
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | LF00002345 | Washington |
Profile Details
| NPI number | 1508809849 |
|---|---|
| LBN Legal business name | Vidan, Ted |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Oct 18th, 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 | 1508809849 | NPPES |
| Washington | Other | 216458 | MHN |
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