Stacey-Robar, Judith E.
Stacey-Robar, Judith E. is an sole proprietor health care provider with primary practice located at 1851 Central Pl S Suite 123, Kent WA 98030-7514. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Stacey-Robar, Judith E. can be contacted via phone (253) 520-3060.Contact Information
Primary practice address
1851 Central Pl S Suite 123
Kent WA 98030-7514
Phone: (253) 520-3060
Fax: (253) 859-0043
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP30006451 | Washington |
Profile Details
| NPI number | 1346306404 |
|---|---|
| LBN Legal business name | Stacey-Robar, Judith E. |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 30th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1346306404 | NPPES |
| Washington | MEDICAID | 9638511 | |
| Washington | Other | 227130100000 | |
| Washington | Other | 8307-01 | |
| Washington | Other | 5240ST | |
| Washington | Other | 0007266542 |
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