Crivello, Laurie Jane
Crivello, Laurie Jane is an individual health care provider with primary practice located at 28 Sw Chehalis Ave, , Chehalis WA 98532. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Crivello, Laurie Jane can be contacted via phone (360) 330-9044.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MC60285534 | Washington |
Profile Details
| NPI number | 1629508437 |
|---|---|
| LBN Legal business name | Crivello, Laurie Jane |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2017 |
| Last updated | Sep 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629508437 | NPPES |
| Washington | MEDICAID | 100094 | |
| Washington | MEDICAID | 1629508437 |
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