Justin Bartle
Individual provider Active NPI Peer Specialist · Fife, WA
NPI 1861961906 · NPPES record last updated Nov 19, 2018
Key facts
- NPI
- 1861961906
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 2150 Freeman Rd E
Fife, WA 98424-3776 - Phone
- (253) 942-5644
- Fax
- (253) 922-4722
- NPI assigned
- Nov 19, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Yes |
Addresses
Primary practice location
2150 Freeman Rd E
Fife, WA 98424-3776
Mailing address
2150 Freeman Rd E
Fife, WA 98424-3776
Phone (253) 942-5644
Other providers in Fife, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.