1235201567 NPI number — DR. FRANCIS WILLIAM WESSBECHER M.D.

Table of content: CHRISTOPHER LIGTERINK (NPI 1043180870)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235201567 NPI number — DR. FRANCIS WILLIAM WESSBECHER M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WESSBECHER
Provider First Name:
FRANCIS
Provider Middle Name:
WILLIAM
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
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:
1235201567
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/22/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1535
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TACOMA
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98401-1535
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
253-761-4200
Provider Business Mailing Address Fax Number:
253-383-3553

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1304 FAWCETT AVE
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
TACOMA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98402-1911
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-761-4200
Provider Business Practice Location Address Fax Number:
253-383-3553
Provider Enumeration Date:
11/14/2006

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: 2085N0700X , with the licence number:  MD00026448 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2085R0202X , with the licence number: MD00026448 , 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: 1940WE . This is a "REGENCE BLUE SHIELD ADVANCED OPEN IMAGING" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 8951832 . This is a "LABOR AND INDUSTRIES CRIME VICTIMS-MEDICAL IMAGING ON 1ST" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: AB36532 . This is a "MEDICARE PIN TRA KING COUNTY" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 8202574 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: G8881784 . This is a "PTAN-MIO1" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: WE9613 . This is a "REGENCE BLUE SHIELD TRA" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: AB37889 . This is a "MEDICARE PIN ADVANCED OPEN IMAGING" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: G001055621 . This is a "PTAN-TRA PIERCE CO" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 119255 . This is a "LABOR AND INDUSTRIES UNION AVENUE OPEN" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 170310 . This is a "LABOR AND INDUSTRIES ADVANCED OPEN IMAGING" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 300021800 . This is a "RR MEDICARE TRA" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 8944810 . This is a "LABOR AND INDUSTRIES CRIME VICTIMS-TRA" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 8945540 . This is a "LABOR AND INDUSTRIES CRIME VICTIMS-UNION AVENUE OPEN MRI" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: WE7252 . This is a "REGENCE BLUE SHIELD UNION AVENUE OPEN" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 65992 . This is a "LABOR AND INDUSTRIES TRA" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 0249566 . This is a "LABOR AND INDUSTRIES-MEDICAL IMAGING ON 1ST" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".




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