1598946253 NPI number — DR. ERIK WILLIAM GILBERTSON D.C., N.D.

Table of content: DR. ERIK WILLIAM GILBERTSON D.C., N.D. (NPI 1598946253)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598946253 NPI number — DR. ERIK WILLIAM GILBERTSON D.C., N.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GILBERTSON
Provider First Name:
ERIK
Provider Middle Name:
WILLIAM
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.C., N.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
NATURAL MEDICINE, LLC
Provider Other First Name:
PUGET SOUND
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1598946253
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 578
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SUMNER
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98390-0100
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
253-579-3958
Provider Business Mailing Address Fax Number:
253-845-5252

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1420 S MERIDIAN
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
PUYALLUP
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98371-6914
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-579-3958
Provider Business Practice Location Address Fax Number:
253-845-5252
Provider Enumeration Date:
11/21/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  CH00033875 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 175F00000X , with the licence number: NT00001624 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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





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