Notebloom, Randy A

Notebloom, Randy A is an individual health care provider with primary practice located at 904 7Th Ave , Seattle WA 98104-1132. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, which is considered as his primary health care specialty. Notebloom, Randy A can be contacted via phone (206) 223-6487.

Contact Information

Primary practice address
904 7Th Ave Seattle WA 98104-1132
Phone: (206) 223-6487
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X PT00003291 Washington

Profile Details

NPI number 1407993553
LBN Legal business name Notebloom, Randy A
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Apr 9th, 2008 - about 18 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 1407993553 NPPES
Washington Other NO5497 BLUE SHIELD #
Washington Other US1051973 BLUE SHIELD #
Washington Other 0039585 BLUE SHIELD #
Washington MEDICAID 8342677 BLUE SHIELD #
Washington Other P00079877 BLUE SHIELD #

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