Mohler, Georgia Ann
Mohler, Georgia Ann is an sole proprietor health care provider with primary practice located at 4901 108Th St Sw , Lakewood WA 98499-3724. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mohler, Georgia Ann can be contacted via phone (253) 589-6484.Contact Information
Primary practice address
4901 108Th St Sw
Lakewood WA 98499-3724
Phone: (253) 589-6484
Fax: (253) 984-1079
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP 30001221 | Washington |
Profile Details
| NPI number | 1134112071 |
|---|---|
| LBN Legal business name | Mohler, Georgia Ann |
| Credentials | BSN ARNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 25th, 2005 |
| Last updated | Mar 19th, 2010 - about 16 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 | 1134112071 | NPPES |
| Washington | Other | P00068570 | RR MEDICARE |
| Washington | MEDICAID | 9639923 | RR MEDICARE |
| Washington | Other | 180343 | RR MEDICARE |
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