Bockow, Barry I.

Bockow, Barry I. is an individual health care provider with primary practice located at 400 S 43Rd St Suite D-3, Renton WA 98055-5714. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. Bockow, Barry I. can be contacted via phone (425) 656-5448.

Contact Information

Primary practice address
400 S 43Rd St Suite D-3 Renton WA 98055-5714
Phone: (425) 656-5448
Fax: (425) 656-5449
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 17343 Washington
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X MD00017343 Washington

Profile Details

NPI number 1942235510
LBN Legal business name Bockow, Barry I.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Feb 7th, 2017 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942235510 NPPES
Washington MEDICAID 1027356
Washington MEDICAID 1659101

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