Khomlyak, Mariya

Khomlyak, Mariya is an individual health care provider with primary practice located at 2111 Shattuck Pl S , Renton WA 98055-4289. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Khomlyak, Mariya can be contacted via phone (425) 277-0452.

Contact Information

Primary practice address
2111 Shattuck Pl S Renton WA 98055-4289
Fax: (425) 271-1107
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 750970 Washington

Profile Details

NPI number 1164820668
LBN Legal business name Khomlyak, Mariya
Credentials NAR
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2014
Last updated Dec 15th, 2014 - about 12 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 1164820668 NPPES
Washington Other 156016 SOCIAL SERVICE PAYMENT SYSTEM NUMBER

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