Pridgen, Kaneetah Velma
Pridgen, Kaneetah Velma is an individual health care provider with primary practice located at 17827 18Th Avenue Ct E , Spanaway WA 98387-4119. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Phlebotomy, which is considered as her primary health care specialty. Pridgen, Kaneetah Velma can be contacted via phone (253) 273-0571.Contact Information
Primary practice address
17827 18Th Avenue Ct E
Spanaway WA 98387-4119
Phone: (253) 273-0571
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Phlebotomy | 246RP1900X | PC60845589 | Washington |
Profile Details
| NPI number | 1285202705 |
|---|---|
| LBN Legal business name | Pridgen, Kaneetah Velma |
| Credentials | MA-P |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2021 |
| Last updated | Jun 11th, 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 | 1285202705 | NPPES |
| Washington | Other | 604769510 | UBI |
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