Habenicht, Tei
Habenicht, Tei is an individual health care provider with primary practice located at 4409 Nw Anderson Hill Rd , Silverdale WA 98383-6807. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Habenicht, Tei can be contacted via phone (360) 698-6630.Contact Information
Primary practice address
4409 Nw Anderson Hill Rd
Silverdale WA 98383-6807
Phone: (360) 698-6630
Fax: (360) 398-7002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA10004580 | Washington |
Profile Details
| NPI number | 1689749624 |
|---|---|
| LBN Legal business name | Habenicht, Tei |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2006 |
| Last updated | Apr 4th, 2012 - 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 | 1689749624 | NPPES |
| Washington | Other | 0277669 | L&I |
| Washington | MEDICAID | 1037226 | L&I |
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