Buum, Roberta A
Buum, Roberta A is an individual health care provider with primary practice located at 521 E Mountain View Ave , Ellensburg WA 98926-3865. 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. Buum, Roberta A can be contacted via phone (509) 962-1414.Contact Information
Primary practice address
521 E Mountain View Ave
Ellensburg WA 98926-3865
Phone: (509) 962-1414
Fax: (509) 962-1408
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA10003677 | Washington |
Profile Details
| NPI number | 1700830155 |
|---|---|
| LBN Legal business name | Buum, Roberta A |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2006 |
| Last updated | Jan 27th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700830155 | NPPES |
| Washington | MEDICAID | 7118250 | |
| Washington | Other | 0226463 |
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