Walls, Denise L
Walls, Denise L is an individual health care provider with primary practice located at 16550 177Th Ave Se , Monroe WA 98272-1968. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Walls, Denise L can be contacted via phone (360) 794-2400.Contact Information
Primary practice address
16550 177Th Ave Se
Monroe WA 98272-1968
Phone: (360) 794-2400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CP60914041 | Washington |
Profile Details
| NPI number | 1174156756 |
|---|---|
| LBN Legal business name | Walls, Denise L |
| Credentials | SUDP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2020 |
| Last updated | Feb 21st, 2020 - about 4 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 | 1174156756 | NPPES |
| Washington | MEDICAID | 2077844 |
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