1295098911 NPI number — MRS. WINNIFRED WING-YUE NG-THOMAIER EAMP, L.AC.,R.N.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295098911 NPI number — MRS. WINNIFRED WING-YUE NG-THOMAIER EAMP, L.AC.,R.N.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NG-THOMAIER
Provider First Name:
WINNIFRED
Provider Middle Name:
WING-YUE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
EAMP, L.AC.,R.N.
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:
1295098911
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/18/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
22229 95TH AVE SE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WOODINVILLE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98077-9511
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
360-668-2288
Provider Business Mailing Address Fax Number:
425-489-2600

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
18122 SR 9
Provider Second Line Business Practice Location Address:
SUITE D
Provider Business Practice Location Address City Name:
SNOHOMISH
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98296-5384
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-668-2288
Provider Business Practice Location Address Fax Number:
425-489-2600
Provider Enumeration Date:
06/18/2012

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:  AC 00000263 , 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)





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