Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | OI00000342 | WA |
N | 222Z00000X | Podiatrist | OI00000342 | WA |
Y | 224P00000X | Prosthetist | PS00000351 | WA |
NPI | 1154648012 |
---|---|
Provider Name | Sarah Chase |
First Address | Anacortes, WA 98221-2700 |
Second Address | Anacortes, WA 98221-2700 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2010 |
Last Update Date | 08/06/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1912386046 | ORGANIZATIONA NPI (01) | WA |