Bansal, Shivam

Bansal, Shivam is an individual health care provider with primary practice located at 4915 25Th Ave Ne Ste 202 , Seattle WA 98105-5668. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Bansal, Shivam can be contacted via phone (206) 830-0299.

Contact Information

Primary practice address
4915 25Th Ave Ne Ste 202 Seattle WA 98105-5668
Phone: (206) 830-0299
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1790407401
LBN Legal business name Bansal, Shivam
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2022
Last updated Sep 19th, 2022 - about 3 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 1790407401 NPPES
Washington Other CB61332031 CBT LICENSE

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