Smith, Sybille Goldback

Smith, Sybille Goldback is an individual health care provider with primary practice located at 11311 Bridgeport Way Sw Ste 100, Lakewood WA 98499-3071. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Smith, Sybille Goldback can be contacted via phone (253) 581-6688.

Contact Information

Primary practice address
11311 Bridgeport Way Sw Ste 100 Lakewood WA 98499-3071
Phone: (253) 581-6688
Fax: (253) 512-2894
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X AP30005537 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP30005537 Washington

Profile Details

NPI number 1306864954
LBN Legal business name Smith, Sybille Goldback
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Nov 18th, 2011 - about 15 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 1306864954 NPPES
Other 8929404 STATE CRIME VICTIMS
Other P00306321 STATE CRIME VICTIMS
MEDICAID 9627324 STATE CRIME VICTIMS
Other 0193324 STATE CRIME VICTIMS

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