Marquardt, Shane D

Marquardt, Shane D is an sole proprietor health care provider with primary practice located at 15418 Main St , Mill Creek WA 98012-9030. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Marquardt, Shane D can be contacted via phone (425) 742-6034.

Contact Information

Primary practice address
15418 Main St Mill Creek WA 98012-9030
Phone: (425) 742-6034
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 60680370 Washington

Profile Details

NPI number 1538847629
LBN Legal business name Marquardt, Shane D
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2023
Last updated Jul 7th, 2023 - about 3 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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