Poupore, Eileen Louise
Poupore, Eileen Louise is an sole proprietor health care provider with primary practice located at 9040 Jackson Ave , Tacoma WA 98433-9500. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Poupore, Eileen Louise can be contacted via phone (253) 968-4848.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP30006358 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | AP30006358 | Washington |
Profile Details
| NPI number | 1639158223 |
|---|---|
| LBN Legal business name | Poupore, Eileen Louise |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 11th, 2006 |
| Last updated | Jun 13th, 2016 - about 10 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 | 1639158223 | NPPES |
| Washington | MEDICAID | 9635384 | |
| Washington | Other | 8938321 | |
| Washington | Other | 0618PO |
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