Debelak, Danielle Bergan

Debelak, Danielle Bergan is an individual health care provider with primary practice located at Woodinville Towne Center 17638 140Th Ave Ne, Woodinville WA 98072. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Debelak, Danielle Bergan can be contacted via phone (425) 485-4100.

Contact Information

Primary practice address
Woodinville Towne Center 17638 140Th Ave Ne Woodinville WA 98072
Phone: (425) 485-4100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00044058 Washington

Profile Details

NPI number 1063598811
LBN Legal business name Debelak, Danielle Bergan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Aug 27th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063598811 NPPES
Washington Other 0203838 L&I
Washington MEDICAID 1063598811 L&I
Washington Other 2040302 L&I

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