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
Phone: (425) 835-0359
Fax: (425) 835-0821
Website:
Health care specialties
| Specialty | Code | License # | 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 10 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 | 1760676019 | NPPES |
| Washington | MEDICAID | 2046966 |
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