1750691085 NPI number — DR. SUK YI HUR ACUPUNCTURIST

Table of content: DR. SUK YI HUR ACUPUNCTURIST (NPI 1750691085)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750691085 NPI number — DR. SUK YI HUR ACUPUNCTURIST

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HUR
Provider First Name:
SUK YI
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
ACUPUNCTURIST
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HUR
Provider Other First Name:
SUK YI
Provider Other Middle Name:
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
OMD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1750691085
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/29/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1623 KILLARNEY WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BELLEVUE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98004-7050
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
714-726-6009
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
14042 NE 8TH ST
Provider Second Line Business Practice Location Address:
SUITE 104
Provider Business Practice Location Address City Name:
BELLEVUE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98007-4142
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
714-726-6009
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/20/2010

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:  AC00003088 , 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)

  • Identifier: 03306996 . This is a "GROUPHEALTH" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".




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