Yearley, Anita Marie

Yearley, Anita Marie is an individual health care provider with primary practice located at 11315 Bridgeport Way Sw , Lakewood WA 98499. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Yearley, Anita Marie can be contacted via phone (253) 588-1711.

Contact Information

Primary practice address
11315 Bridgeport Way Sw Lakewood WA 98499
Fax: (253) 581-6588
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD00036471 Washington

Profile Details

NPI number 1972547784
LBN Legal business name Yearley, Anita Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Feb 19th, 2008 - about 16 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 1972547784 NPPES
Washington Other 2264YE BSWA
Washington MEDICAID 8246928 BSWA
Washington Other 0170819 BSWA
Washington Other 0170829 BSWA
Washington Other 2164YE BSWA
Washington Other 8373YE BSWA

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