1720240567 NPI number — JANICE LAVOIE DOBSON M.D.

Table of content: JANICE LAVOIE DOBSON M.D. (NPI 1720240567)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720240567 NPI number — JANICE LAVOIE DOBSON M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DOBSON
Provider First Name:
JANICE
Provider Middle Name:
LAVOIE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LAVOIE
Provider Other First Name:
JANICE
Provider Other Middle Name:
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1720240567
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/03/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3865 112TH AVE NE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BELLEVUE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98004-7657
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
425-739-4770
Provider Business Mailing Address Fax Number:
425-739-4764

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3865 112TH AVE NE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BELLEVUE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98004-7657
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-739-4770
Provider Business Practice Location Address Fax Number:
425-739-4764
Provider Enumeration Date:
07/01/2008

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: 207V00000X , with the licence number:  MD00035829 , 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)