Prepula, Irene

Prepula, Irene is an sole proprietor health care provider with primary practice located at 18503 Ne 219Th St , Battle Ground WA 98604-9282. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Prepula, Irene can be contacted via phone (360) 687-5666.

Contact Information

Primary practice address
18503 Ne 219Th St Battle Ground WA 98604-9282
Phone: (360) 687-5666
Fax: (360) 666-8346
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT00000946 Washington
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 0520 Oregon

Profile Details

NPI number 1639165681
LBN Legal business name Prepula, Irene
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2005
Last updated Jun 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639165681 NPPES
Washington MEDICAID 7297609

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