1235287830 NPI number — HATTINGH HOLDINGS INC

Table of content: (NPI 1235287830)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235287830 NPI number — HATTINGH HOLDINGS INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HATTINGH HOLDINGS INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
NORTHWEST PROSTHETIC & ORTHOTIC CLINIC
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1235287830
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/22/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
600 BROADWAY
Provider Second Line Business Mailing Address:
SUITE 190
Provider Business Mailing Address City Name:
SEATTLE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98122-5395
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
206-323-4040
Provider Business Mailing Address Fax Number:
206-324-0943

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2625 WHEATON WAY
Provider Second Line Business Practice Location Address:
SUITE B
Provider Business Practice Location Address City Name:
BREMERTON
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98310-3371
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-405-6976
Provider Business Practice Location Address Fax Number:
360-479-1885
Provider Enumeration Date:
01/08/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
HATTINGH
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
H
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
206-323-4040

Provider Taxonomy Codes

  • Taxonomy code: 335E00000X , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 9036963 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".