Sierra Ascencio, Manuel Enrique

Sierra Ascencio, Manuel Enrique is an individual health care provider with primary practice located at 4420 76Th St Ne , Marysville WA 98270-3726. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Sierra Ascencio, Manuel Enrique can be contacted via phone (360) 651-7491.

Contact Information

Primary practice address
4420 76Th St Ne Marysville WA 98270-3726
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 51796 Minnesota
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD60663211 Washington

Profile Details

NPI number 1093952582
LBN Legal business name Sierra Ascencio, Manuel Enrique
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2009
Last updated Mar 15th, 2017 - about 9 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 1093952582 NPPES
Washington MEDICAID 2068151

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