| |
4413 38th Ave Ne Seattle WA 98105-5632 | |
(206) 523-1545 | |
(206) 523-1751 |
Full Name | |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 4413 38th Ave Ne, Seattle, Washington |
Authorized Official Name and Position | John B Thomas (PHYSICIAN) |
Authorized Official Contact | 2065231545 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
4413 38th Ave Ne Seattle WA 98105-5632 Ph: (206) 523-1545 | 4413 38th Ave Ne Seattle WA 98105-5632 Ph: (206) 523-1545 |
NPI Number | 1366652661 |
---|---|
Provider Enumeration Date | 05/23/2007 |
Last Update Date | 08/12/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366652661 | NPI | - | NPPES |
7040868 | Medicaid | WA | |
0173463 | Other | WA | LABOR & INDUSTRIES |
1016856 | Medicaid | WA | |
17171 | Other | WA | LABOR AND INDUSTRIES |
1703503 | Medicaid | WA | |
06802 | Other | WA | LABOR AND INDUSTRIES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | MD00017961 (Washington) | Primary |
261QP2300X | Clinic/center - Primary Care | MD00023891 (Washington) | Secondary |
Vera Whole Health Wa Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4540 Sand Point Way Ne Ste 100, Seattle, WA 98105 Phone: 206-575-8880 Fax: 206-223-2334 | |
Every Body Moves, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5238 57th Ave S, Seattle, WA 98118 Phone: 206-618-5632 | |
Landmark Medical Of Washington Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2150 N 107th St Ste 480, Seattle, WA 98133 Phone: 877-240-3112 |