Birkebak, Douglas J.
Birkebak, Douglas J. is an individual health care provider with primary practice located at 16251 Sylvester Rd Sw , Burien WA 98166-3017. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Birkebak, Douglas J. can be contacted via phone (206) 431-5314.Contact Information
Primary practice address
16251 Sylvester Rd Sw
Burien WA 98166-3017
Phone: (206) 431-5314
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA10002010 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA10002010 | Washington |
Profile Details
| NPI number | 1275583833 |
|---|---|
| LBN Legal business name | Birkebak, Douglas J. |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Feb 8th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275583833 | NPPES |
| Washington | Other | 29624U | REGENCE BLUE SHIELD PIN |
| Washington | MEDICAID | 8398158 | REGENCE BLUE SHIELD PIN |
| Washington | Other | 9622BI | REGENCE BLUE SHIELD PIN |
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