Powers, Micahlyn Marie
Powers, Micahlyn Marie is an individual health care provider with primary practice located at 5580 Nordic Way , Ferndale WA 98248. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Powers, Micahlyn Marie can be contacted via phone (360) 384-1511.Contact Information
Primary practice address
5580 Nordic Way
Ferndale WA 98248
Phone: (360) 384-1511
Fax: (360) 384-5758
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD60335430 | Washington |
Profile Details
| NPI number | 1366753428 |
|---|---|
| LBN Legal business name | Powers, Micahlyn Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2010 |
| Last updated | Jul 14th, 2021 - about 5 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 | 1366753428 | NPPES |
| Washington | MEDICAID | 2029380 | |
| Washington | Other | 0322502 |
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