Neb Doctors of Washington, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NEB DOCTORS OF WASHINGTON, LLC

Practice address

844 Mt Villa St
Suite a
Enumclaw, WA 98022-2902

Phone

(360) 802-2323

Fax

(360) 802-6565

NPI assigned

May 17, 2006

Last updated

Mar 1, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Stephen May

Title

President

Phone

(360) 802-2323

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1427000546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 GRIFFIN AVE",
            "address_2": "#284",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980223418",
            "telephone_number": "360-802-2323",
            "fax_number": "360-802-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 MT VILLA ST",
            "address_2": "SUITE A",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980222902",
            "telephone_number": "360-802-2323",
            "fax_number": "360-802-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEB DOCTORS OF WASHINGTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "MAY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-802-2323",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9057167",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Enumclaw, WA
• Providers in Enumclaw, WA by specialty
• Durable Medical Equipment & Medical Supplies in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.