Wallace, Aubrey Kathleen

Wallace, Aubrey Kathleen is an sole proprietor health care provider with primary practice located at 21827 76Th Ave W Ste 202 , Edmonds WA 98026-7981. She recently has only one registered license in Other Service Providers / Naturopath, which is considered as her primary health care specialty. Wallace, Aubrey Kathleen can be contacted via phone (425) 835-0359.

Contact Information

Primary practice address
21827 76Th Ave W Ste 202 Edmonds WA 98026-7981
Fax: (425) 835-0821
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Naturopath 175F00000X NT 60477240 Washington

Profile Details

NPI number 1760676019
LBN Legal business name Wallace, Aubrey Kathleen
Credentials N.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2007
Last updated Aug 24th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760676019 NPPES
Washington MEDICAID 2046966

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