WELLNESSONE OF EASTGATE PS NPI 1750653374

NPI Information

NPI: 1750653374
Provider Name: WELLNESSONE OF EASTGATE, PS

Doing Business As: WELLNESSONE OF EASTGATE

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
15100 SE 38TH ST
SUITE 305B
BELLEVUE, WA
ZIP 98006
Phone: (425) 289-0092
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WELLNESSONE OF EASTGATE, PS is a health service clinic center in Bellevue, WA. WELLNESSONE OF EASTGATE, PS NPI is 1750653374. The provider is registered as an organization entity type.
The provider Is Doing Business As Wellnessone Of Eastgate.

The provider's business location address is:

15100 SE 38TH ST
SUITE 305B
BELLEVUE, WA
ZIP 98006-728
Phone: (425) 289-0092
Fax: (425) 289-0095

The provider's authorized official is Steven Paull Thain .
The authorized official title is President and has the following contact phone number (425) 289-0092.

The enumeration date for this NPI number is 1/27/2012 and was last updated on 1/27/2012.

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	261QH0100X	Clinic/Center	Health Service			Yes

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: 11/14/2023

NPI Synchronization or Removal

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