Lulu, Dereje G

Lulu, Dereje G is an sole proprietor health care provider with primary practice located at 14100 Linden Ave N # 418, Seattle WA 98133-7154. He recently has 3 registered licenses in different health care specialties including Agencies / In Home Supportive Care, Respite Care Facility / Respite Care, Agencies / Home Health. Agencies / In Home Supportive Care is his primary health care specialty. Lulu, Dereje G can be contacted via phone (206) 414-4710.

Contact Information

Primary practice address
14100 Linden Ave N # 418 Seattle WA 98133-7154
Phone: (206) 414-4710
Fax: (206) 494-7848
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X
Respite Care Facility / Respite Care 385H00000X
Agencies / Home Health 251E00000X IHS.FS.60405684 Washington

Profile Details

NPI number 1336482280
LBN Legal business name Lulu, Dereje G
Credentials NAC,
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2013
Last updated Feb 12th, 2015 - about 11 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 1336482280 NPPES
Washington Other IHS.FS.60405684 WASHINGTON STATE HOME CARE AGENCE LICENSES PERMITSAND CERTIFICATES

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