Boede, Mark W

Boede, Mark W is an individual health care provider with primary practice located at 1519 132Nd St Se Suite A, Everett WA 98208-7203. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Boede, Mark W can be contacted via phone (425) 337-9556.

Contact Information

Primary practice address
1519 132Nd St Se Suite A Everett WA 98208-7203
Phone: (425) 337-9556
Fax: (425) 357-9186
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1447213012
LBN Legal business name Boede, Mark W
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Jan 24th, 2012 - about 12 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 1447213012 NPPES
Washington Other 0309BO REGENCE
Washington Other 1838BO REGENCE
Washington Other 911745305-98223-C004 REGENCE
Washington Other 0213610 REGENCE
Washington MEDICAID 8350183 REGENCE
Washington Other 0273078 REGENCE
Washington Other 8350183 REGENCE
Washington Other 8750BO REGENCE
Washington Other P00414140 REGENCE
Washington Other 0251421 REGENCE
Washington Other 1830BO REGENCE
Washington Other 7787375 REGENCE
Washington Other 8940177 REGENCE
Washington Other 3568BO REGENCE

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