1336549088 NPI number — DR. MEGAN LOCKE WESTBROOK D.C.

Table of content: DR. MEGAN LOCKE WESTBROOK D.C. (NPI 1336549088)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336549088 NPI number — DR. MEGAN LOCKE WESTBROOK D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WESTBROOK
Provider First Name:
MEGAN
Provider Middle Name:
LOCKE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.C.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LOCKE
Provider Other First Name:
MEGAN
Provider Other Middle Name:
ELIZABETH
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
D.C.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1336549088
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/01/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
19987 1ST AVE S
Provider Second Line Business Mailing Address:
STE. 102
Provider Business Mailing Address City Name:
NORMANDY PARK
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98148-2400
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
206-824-7200
Provider Business Mailing Address Fax Number:
206-832-4652

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
19987 1ST AVE S.
Provider Second Line Business Practice Location Address:
SUITE 102
Provider Business Practice Location Address City Name:
NORMANDY PARK
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98148-2400
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-824-7200
Provider Business Practice Location Address Fax Number:
206-832-4652
Provider Enumeration Date:
08/31/2014

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: 111N00000X , with the licence number:  60495702 , 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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