Wiersum, Lidia
Wiersum, Lidia is an sole proprietor health care provider with primary practice located at 2445 270Th Ave Se , Issaquah WA 98029-7901. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Wiersum, Lidia can be contacted via phone (262) 748-5588.Contact Information
Primary practice address
2445 270Th Ave Se
Issaquah WA 98029-7901
Phone: (262) 748-5588
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | AP60321256 | Washington |
Profile Details
| NPI number | 1558605071 |
|---|---|
| LBN Legal business name | Wiersum, Lidia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 21st, 2012 |
| Last updated | Oct 9th, 2020 - about 5 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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