Michael Andrew Egbert in Bonney Lake - Sports
Michael Andrew Egbert - NPI 1093897613
Michael Andrew Egbert is a Sports in Bonney Lake, Washington. Michael Andrew Egbert practices all healthcare services and medical treatments related to Sports. The NPI Number for Michael Andrew Egbert is 1093897613. The last update date is 2019-10-03.
Michael Andrew Egbert's current location address is 20910 Sr 410 E, Bonney Lake, Washington. You can contact this provider via phone number 2538622575 and fax number 2538622675. The mailing address for Michael Andrew Egbert is 20910 Sr 410 E, Bonney Lake, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Andrew Egbert |
|---|---|
| Address | 20910 Sr 410 E, Bonney Lake, Washington |
| Phone Number | 2538622575 |
| Fax Number | 2538622675 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1093897613 |
|---|---|
| Provider Enumeration Date | 2006-10-20 |
| Last Updated Date | 2019-10-03 |
Provider Mailing Address Detail
| Address | 20910 Sr 410 E |
|---|---|
| City | Bonney Lake |
| State | Washington (WA) |
| Post Code | 983916302 |
| Phone Number | 2538622575 |
| Fax Number | 2538622675 |
Provider's Primary Taxonomy Detail
| Speciality | Sports |
|---|---|
| Taxonomy | 2251S0007X |
| Licence No | PT00005418 |
|
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8543712 | WA | -- | |
| 171896 | WA | L&I PROVIDER NO. | |
| 7126303 | WA | -- | |
| EG4516 | WA | BLUE SHIELD PROV. NO. | |
| 246114 | WA | L&I | |
| P00061737 | WA | MEDICARE RAILROAD | |
| 7421EG | WA | BLUE SHILD BL |
Post Comment/ Review Below
What is the unique identifier code issued to Michael Andrew Egbert by the Centers for Medicare & Medicaid Services (CMS)?
The Michael Andrew Egbert has been assigned the NPI (National Provider Identifier) 1093897613. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Michael Andrew Egbert is physically located?
The Michael Andrew Egbert is situated at the following address: 20910 Sr 410 E, Bonney Lake, WA 983916302.
What is Michael Andrew Egbert's specialized field of practice, and what is the corresponding taxonomy classification code?
The Michael Andrew Egbert's area of specialization is Sports, and the corresponding taxonomy code that categorizes this field of practice is 2251S0007X.
When did Michael Andrew Egbert receive its 1093897613 assignment?
The Michael Andrew Egbert was assigned its 1093897613 on 2006-10-20, which is the date when this unique identifier was issued to the organization.
As of what date were the Michael Andrew Egbert's details last updated?
The information pertaining to the Michael Andrew Egbert, including its address, specialty, and other details, was most recently updated on 2019-10-03.
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