Windom, Brenda J

Windom, Brenda J is an individual health care provider with primary practice located at 427 S Oak St Suite A, Colville WA 99114-2750. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Reflexologist, Other Service Providers / Mechanotherapist. Other Service Providers / Mechanotherapist is her primary health care specialty. Windom, Brenda J can be contacted via phone (509) 846-6367.

Contact Information

Primary practice address
427 S Oak St Suite A Colville WA 99114-2750
Phone: (509) 846-6367
Fax: (509) 685-9600
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Reflexologist 173C00000X NOT REQUIRED Washington
Other Service Providers / Mechanotherapist 172M00000X MA 60114035 Washington

Profile Details

NPI number 1053648568
LBN Legal business name Windom, Brenda J
Credentials LMP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2009
Last updated Oct 25th, 2010 - about 15 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 1053648568 NPPES
Washington Other 0257488 L&I PROVIDER

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