Northwest Weight Loss Surgery, Pllc in Everett - Specialist
Northwest Weight Loss Surgery, Pllc - NPI 1023069747
Northwest Weight Loss Surgery, Pllc is a Specialist in Everett, Washington. Northwest Weight Loss Surgery, Pllc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Northwest Weight Loss Surgery, Pllc is 1023069747. The last update date is 2012-03-21.
Northwest Weight Loss Surgery, Pllc's current location address is 125 130th St Se, Everett, Washington. You can contact this provider via phone number 4253852263 and fax number 4253858476. The mailing address for Northwest Weight Loss Surgery, Pllc is 125 130th St Se, Everett, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northwest Weight Loss Surgery, Pllc |
|---|---|
| Address | 125 130th St Se, Everett, Washington |
| Phone Number | 4253852263 |
| Fax Number | 4253858476 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Lukevich E Gaia |
| Credentials | RN, BSN, R |
| Telephone Number | 4253852263 |
NPI Number Detail
| NPI Number | 1023069747 |
|---|---|
| Provider Enumeration Date | 2006-05-15 |
| Last Updated Date | 2012-03-21 |
Provider Mailing Address Detail
| Address | 125 130th St Se |
|---|---|
| City | Everett |
| State | Washington (WA) |
| Post Code | 9820864000 |
| Phone Number | 4253852263 |
| Fax Number | 4253858476 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 602225209 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 602225209 | WA | STATE LICENSE BUSINESS ID |
Post Comment/ Review Below
What is the unique identification code assigned to Northwest Weight Loss Surgery, Pllc by the Centers for Medicare & Medicaid Services?
The Northwest Weight Loss Surgery, Pllc has been issued the NPI (National Provider Identifier) 1023069747. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Northwest Weight Loss Surgery, Pllc is physically located?
The Northwest Weight Loss Surgery, Pllc is situated at the following address: 125 130Th St Se, Everett, WA 9820864000.
What is Northwest Weight Loss Surgery, Pllc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Northwest Weight Loss Surgery, Pllc's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
On what date did the Northwest Weight Loss Surgery, Pllc receive the assignment of its 1023069747 from the Centers for Medicare & Medicaid Services?
The Northwest Weight Loss Surgery, Pllc was issued its 1023069747 by the Centers for Medicare & Medicaid Services on 2006-05-15.
As of what date were the details pertaining to Northwest Weight Loss Surgery, Pllc last refreshed?
The information related to the Northwest Weight Loss Surgery, Pllc, including its address, specialty, and other relevant details, was last updated on 2012-03-21.