1376692749 NPI number — MS. SARAH E TOMPKINS LMT

Table of content: MS. SARAH E TOMPKINS LMT (NPI 1376692749)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376692749 NPI number — MS. SARAH E TOMPKINS LMT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TOMPKINS
Provider First Name:
SARAH
Provider Middle Name:
E
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LMT
Provider Gender Code:
F

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:
1376692749
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/27/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 30665
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SEATTLE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98113-0665
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
206-465-1496
Provider Business Mailing Address Fax Number:
888-474-2930

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4000 AURORA AVE N
Provider Second Line Business Practice Location Address:
#118
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98103-7873
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-465-1496
Provider Business Practice Location Address Fax Number:
888-474-2930
Provider Enumeration Date:
01/09/2007

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: 225700000X , with the licence number:  MA00019713 , 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: 0194718 . This is a "WA DEPT OF L&I PROVIDER #" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".




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