Tahlequah, Mary Jean
Tahlequah, Mary Jean is an sole proprietor health care provider with primary practice located at 27615 108Th Ave Se , Kent WA 98030-8768. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Tahlequah, Mary Jean can be contacted via phone (253) 850-2333.Contact Information
Primary practice address
27615 108Th Ave Se
Kent WA 98030-8768
Phone: (253) 850-2333
Fax: (253) 850-7164
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MA00010308 | Washington |
Profile Details
| NPI number | 1073679395 |
|---|---|
| LBN Legal business name | Tahlequah, Mary Jean |
| Credentials | LMP,COMP,CNMT,SI |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 29th, 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 | 1073679395 | NPPES |
| Washington | Other | MA00010308 | MASSAGE LIC # |
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