1831234145 NPI number — MR. JOHN W ARTMAN OT

Table of content: MR. JOHN W ARTMAN OT (NPI 1831234145)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831234145 NPI number — MR. JOHN W ARTMAN OT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ARTMAN
Provider First Name:
JOHN
Provider Middle Name:
W
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
OT
Provider Gender Code:
M

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:
1831234145
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/23/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
16030 BOTHELL EVERETT HWY STE 200
Provider Second Line Business Mailing Address:
THE DONALDSON CLINIC
Provider Business Mailing Address City Name:
MILL CREEK
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98012-1741
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
425-745-4910
Provider Business Mailing Address Fax Number:
425-745-5709

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
16030 BOTHELL EVERETT HWY STE 200
Provider Second Line Business Practice Location Address:
THE DONALDSON CLINIC
Provider Business Practice Location Address City Name:
MILL CREEK
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98012-1741
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-745-4910
Provider Business Practice Location Address Fax Number:
425-745-5709
Provider Enumeration Date:
02/21/2007

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: 225X00000X , with the licence number:  OT00001575 , 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: 0149933 . This is a "DEPT. OF L&I" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 5092AR . This is a "REGENCE" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: G8874479 . This is a "VMMC MEDICARE NUMBER" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 91-1463799 . This is a "TAX ID" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 8343865 . This is a "VMMC DSHS NUMBER" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 8343865 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2323AR . This is a "BLUE SHIELD VM" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".




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