Eschbach, Virginia
Eschbach, Virginia is an individual health care provider with primary practice located at 728 134Th St Sw Suite # 120, Everett WA 98204-5322. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Eschbach, Virginia can be contacted via phone (425) 297-6200.Contact Information
Primary practice address
728 134Th St Sw Suite # 120
Everett WA 98204-5322
Phone: (425) 297-6200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | MD00037464 | Washington |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD00037464 | Washington |
Profile Details
| NPI number | 1023095080 |
|---|---|
| LBN Legal business name | Eschbach, Virginia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2005 |
| Last updated | Oct 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023095080 | NPPES |
| Washington | Other | 142177 | L&I PROVIDER NUMBER |
| Washington | MEDICAID | 8242794 | L&I PROVIDER NUMBER |
| Washington | Other | 175519 | L&I PROVIDER NUMBER |
| Washington | Other | 131141 | L&I PROVIDER NUMBER |
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