Reunanen, Stacy Lee

Reunanen, Stacy Lee is an sole proprietor health care provider with primary practice located at 3815 S 198Th St , Seatac WA 98188-5450. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Reunanen, Stacy Lee can be contacted via phone (206) 870-9128.

Contact Information

Primary practice address
3815 S 198Th St Seatac WA 98188-5450
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X DH00004007 Washington

Profile Details

NPI number 1578755708
LBN Legal business name Reunanen, Stacy Lee
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2007
Last updated Aug 12th, 2007 - about 16 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 1578755708 NPPES
Washington MEDICAID 5902077

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