1881916674 NPI number — LAURA BRATTON STERLING MSAOM, LAC

Table of content: LAURA BRATTON STERLING MSAOM, LAC (NPI 1881916674)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881916674 NPI number — LAURA BRATTON STERLING MSAOM, LAC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STERLING
Provider First Name:
LAURA
Provider Middle Name:
BRATTON
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MSAOM, LAC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BRATTON
Provider Other First Name:
LAURA
Provider Other Middle Name:
MARIE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MSAOM, LAC
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1881916674
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/17/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3876 BRIDGE WAY N
Provider Second Line Business Mailing Address:
SUITE 300
Provider Business Mailing Address City Name:
SEATTLE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98103-7951
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
425-298-3605
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3876 BRIDGE WAY N
Provider Second Line Business Practice Location Address:
SUITE 300
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98103-7951
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-298-3605
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/19/2010

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: 171100000X , with the licence number:  60134535 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 171100000X , with the licence number: AC60134535 , 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)