Watson, Stacey D

Watson, Stacey D is an individual health care provider with primary practice located at 550 17Th Ave Suite 500, Seattle WA 98122-5788. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Watson, Stacey D can be contacted via phone (206) 320-3883.

Contact Information

Primary practice address
550 17Th Ave Suite 500 Seattle WA 98122-5788
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X LD 00002570 Washington

Profile Details

NPI number 1184762130
LBN Legal business name Watson, Stacey D
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
Last updated Apr 28th, 2021 - about 5 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 1184762130 NPPES
Washington Other 0039572 LABOR AND INDUSTRIES#
Washington MEDICAID 8368235 LABOR AND INDUSTRIES#
Washington Other US2498706 LABOR AND INDUSTRIES#
Washington Other 4477WA LABOR AND INDUSTRIES#
Washington Other 640004238 LABOR AND INDUSTRIES#

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