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Contact Information

VANESSA J MEHTA, PA-C
5128 YELM HWY SE
SUITE E
LACEY, WA98503
 Phone: 708-652-2040
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for VANESSA J MEHTA · (Female)

NPI # 1366993362
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/14/2016
Last updated 11/08/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 085.005976
Hospital affiliation(s)
  • TACOMA GENERAL ALLENMORE HOSPITAL - (Acute Care)
    315 S MLK JR WAY
    TACOMA, WA 98415
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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