Bonnie J. Witrak in Lynnwood - Neuroradiology
Bonnie J. Witrak - NPI 1720066293
Bonnie J. Witrak is a Neuroradiology in Lynnwood, Washington. Bonnie J. Witrak practices all healthcare services and medical treatments related to Neuroradiology. The NPI Number for Bonnie J. Witrak is 1720066293. The last update date is 2019-08-05.
Bonnie J. Witrak's current location address is 19020 33rd Ave W Ste 210, Lynnwood, Washington. You can contact this provider via phone number 4255631500 and fax number 4255631374. The mailing address for Bonnie J. Witrak is 19020 33rd Ave W Ste 210, Lynnwood, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bonnie J. Witrak |
|---|---|
| Address | 19020 33rd Ave W Ste 210, Lynnwood, Washington |
| Phone Number | 4255631500 |
| Fax Number | 4255631374 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1720066293 |
|---|---|
| Provider Enumeration Date | 2006-01-05 |
| Last Updated Date | 2019-08-05 |
Provider Mailing Address Detail
| Address | 19020 33rd Ave W Ste 210 |
|---|---|
| City | Lynnwood |
| State | Washington (WA) |
| Post Code | 980364748 |
| Phone Number | 4255631500 |
| Fax Number | 4255631374 |
Provider's Primary Taxonomy Detail
| Speciality | Neuroradiology |
|---|---|
| Taxonomy | 2085N0700X |
| Licence No | M-12423 |
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Definition: A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1720066293 | ID | -- | |
| 117424 | WA | L&I PROVIDER NUMBER | |
| 120220 | WA | L&I PROVIDER NUMBER | |
| 224089 | WA | L&I PROVIDER NUMBER | |
| 8131740 | WA | -- | |
| 204125 | WA | L&I PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Bonnie J. Witrak by the Centers for Medicare & Medicaid Services (CMS)?
The Bonnie J. Witrak has been assigned the NPI (National Provider Identifier) 1720066293. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Bonnie J. Witrak is physically located?
The Bonnie J. Witrak is physically situated at the following address: 19020 33Rd Ave W Ste 210, Lynnwood, WA, 980364748.
What is the Bonnie J. Witrak's specialty and taxonomy code?
The Bonnie J. Witrak's specialty is Neuroradiology, and the corresponding taxonomy code is 2085N0700X.
When was the Bonnie J. Witrak's 1720066293 issued?
The Bonnie J. Witrak's 1720066293 was issued on 2006-01-05.
As of what date was the information pertaining to Bonnie J. Witrak, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Bonnie J. Witrak, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-08-05.