Heritage Building Llc is a
Physical Medicine & Rehabilitation based in Olympia, Washington. Heritage Building Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
4001 Harrison Ave Nw, Ste 102, Olympia, Washington. It can be reached at their office (for appointments etc.) via phone at
(360) 956-3627.
NPI number for Heritage Building Llc is 1023449006 and their current mailing address is 4001 Harrison Ave Nw, Ste 102, Olympia, Washington. Heritage Building Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1023449006.
Healthcare Provider's Profile
| Full Name | Heritage Building Llc |
|---|
| Type | Facility |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 4001 Harrison Ave Nw, Olympia, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1023449006
- Provider Enumeration Date: 12/02/2013
- Last Update Date: 04/01/2014
Medical Identifiers
Medical identifiers for Heritage Building Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023449006 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | CH00034866 (Washington) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | AC00000244 (Washington) | Secondary |
| 225700000X | Massage Therapist | MA60043686 (Washington) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Heritage Building Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Heritage Building Llc
4001 Harrison Ave Nw, Ste 102,
Olympia, WA 98502-5084
Ph: (360) 740-0888 | Heritage Building Llc
4001 Harrison Ave Nw, Ste 102,
Olympia, WA 98502-5084
Ph: (360) 956-3627 |
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