Austin, Mariah Athena

Austin, Mariah Athena is an individual health care provider with primary practice located at 613 Superior Ln , Yakima WA 98902-1623. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Assistant Record Technician, which is considered as her primary health care specialty. Austin, Mariah Athena can be contacted via phone (509) 575-4810.

Contact Information

Primary practice address
613 Superior Ln Yakima WA 98902-1623
Phone: (509) 575-4810
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Assistant Record Technician 2470A2800X 60689090 Washington

Profile Details

NPI number 1770050809
LBN Legal business name Austin, Mariah Athena
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2018
Last updated Oct 26th, 2018 - about 7 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 1770050809 NPPES
Washington MEDICAID 91-0755984

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