1770345894 NPI number — DR. CHARLOTTE HOEGG CROSBIE MD

Table of content: DR. CHARLOTTE HOEGG CROSBIE MD (NPI 1770345894)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770345894 NPI number — DR. CHARLOTTE HOEGG CROSBIE MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CROSBIE
Provider First Name:
CHARLOTTE
Provider Middle Name:
HOEGG
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
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:
1770345894
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/20/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
SEATTLE EMERGENCY PHYSICIANS SERVICES, INC. P. S.
Provider Second Line Business Mailing Address:
16410 84TH STREET NE, SUITE D-605
Provider Business Mailing Address City Name:
LAKE STEVENS
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98258
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
360-658-2488
Provider Business Mailing Address Fax Number:
877-501-9769

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
SWEDISH MEDICAL CENTER EMERGENCY DEPARTMENTS FIRST
Provider Second Line Business Practice Location Address:
747 BROADWAY
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98122
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-386-6000
Provider Business Practice Location Address Fax Number:
877-501-9769
Provider Enumeration Date:
01/24/2024

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: 207P00000X , with the licence number:  MD.MD.61492345 , 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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