Hawthorne, Sherry Lynn

Hawthorne, Sherry Lynn is an individual health care provider with primary practice located at 1616 Cornwall Ave Ste 100 , Bellingham WA 98225-4642. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Hawthorne, Sherry Lynn can be contacted via phone (360) 305-3275.

Contact Information

Primary practice address
1616 Cornwall Ave Ste 100 Bellingham WA 98225-4642
Fax: (360) 305-3275
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X CB60773255 Washington

Profile Details

NPI number 1891212502
LBN Legal business name Hawthorne, Sherry Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2017
Last updated Aug 23rd, 2017 - about 9 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 1891212502 NPPES
Washington MEDICAID CB60773255

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