1134835176 NPI number — AEG WASHINGTON PROFESSIONAL PC

Table of content: (NPI 1134835176)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134835176 NPI number — AEG WASHINGTON PROFESSIONAL PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AEG WASHINGTON PROFESSIONAL PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1134835176
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/18/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
111 E 4TH ST STE 440
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ALTON
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
62002-6206
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
618-462-9818
Provider Business Mailing Address Fax Number:
314-741-4947

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
12310 NE 8TH ST STE 101
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:
98005-3185
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-455-0001
Provider Business Practice Location Address Fax Number:
314-741-4947
Provider Enumeration Date:
01/24/2023

Additional Information

Authorized Official

Authorized Official Last Name:
LINDBERG
Authorized Official First Name:
GRANT
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
618-462-9818

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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