Mcilwain, Mariana

Mcilwain, Mariana is an individual health care provider with primary practice located at 128 Lilly Rd Ne Ste 202 , Olympia WA 98506-7400. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Mcilwain, Mariana can be contacted via phone (360) 357-6314.

Contact Information

Primary practice address
128 Lilly Rd Ne Ste 202 Olympia WA 98506-7400
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X LD60863106 Washington

Profile Details

NPI number 1922597152
LBN Legal business name Mcilwain, Mariana
Credentials AU.D
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2018
Last updated Jun 25th, 2018 - about 8 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 1922597152 NPPES
Washington Other 91-1829653 TAX ID

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