PHYSICAL MEDICINE OF BELLEVUE PLLC NPI 1528316692

NPI Information

NPI: 1528316692
Provider Name: PHYSICAL MEDICINE OF BELLEVUE PLLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
555 108TH AVE NE STE 1
BELLEVUE, WA
ZIP 98004
Phone: (425) 452-9280
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PHYSICAL MEDICINE OF BELLEVUE PLLC is a general practice in Bellevue, WA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PHYSICAL MEDICINE OF BELLEVUE PLLC NPI is 1528316692. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

555 108TH AVE NE STE 1
BELLEVUE, WA
ZIP 98004-578
Phone: (425) 452-9280
Fax: (425) 452-9306

The provider's authorized official is Mikhail V. Makovski .
The authorized official title is Medical Director and has the following contact phone number (425) 452-9280.

The enumeration date for this NPI number is 8/21/2012 and was last updated on 2/7/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		CH00003438	WASHINGTON	No
2	111N00000X	Chiropractor		CH60266885	WASHINGTON	No
3	163WG0000X	Registered Nurse	General Practice	AP60184962	WASHINGTON	No
4	208D00000X	General Practice		MD00039986	WASHINGTON	Yes
5	225700000X	Massage Therapist		MA60147179	WASHINGTON	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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