1164580031 NPI number — DAVID MARK WASHA DC

Table of content: DAVID MARK WASHA DC (NPI 1164580031)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164580031 NPI number — DAVID MARK WASHA DC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WASHA
Provider First Name:
DAVID
Provider Middle Name:
MARK
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DC
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:
1164580031
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/22/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1415 US HWY 16
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LACROSSE
Provider Business Mailing Address State Name:
WI
Provider Business Mailing Address Postal Code:
54601
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
608-785-7746
Provider Business Mailing Address Fax Number:
608-782-2938

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1415 US HWY 16
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LACROSSE
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
54601
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
608-785-7746
Provider Business Practice Location Address Fax Number:
608-782-2938
Provider Enumeration Date:
12/04/2006

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: 111NS0005X , with the licence number:  2535 , registered in the state of WI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 111NS0005X , with the licence number: 2813 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 279J7WA . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 391762498 . This is a "FED TAX" identifier , issued by the state of ( WI ) . This identifiers is of the category "OTHER".
  • Identifier: 391762498015 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( WI ) . This identifiers is of the category "OTHER".
  • Identifier: P00046865 . This is a "RAILROAD MEDICARE" identifier . This identifiers is of the category "OTHER".




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