Bockman, Maryanne

Bockman, Maryanne is an individual health care provider with primary practice located at 12800 Bothell Everett Hwy Suite 180, Everett WA 98208-6642. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bockman, Maryanne can be contacted via phone (425) 316-5130.

Contact Information

Primary practice address
12800 Bothell Everett Hwy Suite 180 Everett WA 98208-6642
Phone: (425) 316-5130
Fax: (425) 316-5131
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10003160 Washington

Profile Details

NPI number 1487754503
LBN Legal business name Bockman, Maryanne
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Apr 16th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487754503 NPPES
Washington MEDICAID 7097561

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