Heenan, Lisa Marie
Heenan, Lisa Marie is an sole proprietor health care provider with primary practice located at 4008 W Lake Samm Pkwy Ne Apt D1 , Redmond WA 98052-5627. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Heenan, Lisa Marie can be contacted via phone (425) 463-5476.Contact Information
Primary practice address
4008 W Lake Samm Pkwy Ne Apt D1
Redmond WA 98052-5627
Phone: (425) 463-5476
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | MA60199222 | Washington |
Profile Details
| NPI number | 1336444249 |
|---|---|
| LBN Legal business name | Heenan, Lisa Marie |
| Credentials | MASSAGE PRACTIONER |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2011 |
| Last updated | Jan 24th, 2011 - about 15 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 | 1336444249 | NPPES |
| Washington | Other | MA0199222 | MASSAGE THERAPIST |
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