1538645288 NPI number — FUNCTIONAL HEALTH CONSULTING, LLC

Table of content: (NPI 1538645288)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538645288 NPI number — FUNCTIONAL HEALTH CONSULTING, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FUNCTIONAL HEALTH CONSULTING, LLC
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:
6
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:
1538645288
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/16/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
15 SW EVERETT MALL WAY STE G
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EVERETT
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98204-2715
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
425-355-5222
Provider Business Mailing Address Fax Number:
425-355-5231

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4915 25TH AVE NE STE 104
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98105-8667
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-315-7998
Provider Business Practice Location Address Fax Number:
206-316-2308
Provider Enumeration Date:
07/16/2018

Additional Information

Authorized Official

Authorized Official Last Name:
TROXLER
Authorized Official First Name:
DEBBIE
Authorized Official Middle Name:
Authorized Official Title or Position:
BILLING SPECIALIST
Authorized Official Telephone Number:
425-355-5222

Provider Taxonomy Codes

  • Taxonomy code: 111NS0005X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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