Mulder, Bethany
Mulder, Bethany is an individual health care provider with primary practice located at 605 S Coolidge St , Moses Lake WA 98837-1893. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Mulder, Bethany can be contacted via phone (509) 765-0674.Contact Information
Primary practice address
605 S Coolidge St
Moses Lake WA 98837-1893
Phone: (509) 765-0674
Fax: (509) 764-0344
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | OP60968552 | Washington |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OP60968552 | Washington |
Profile Details
| NPI number | 1093176398 |
|---|---|
| LBN Legal business name | Mulder, Bethany |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2016 |
| Last updated | Dec 5th, 2019 - about 7 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 | 1093176398 | NPPES |
| Washington | MEDICAID | 2134374 |
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