Diestelhorst, James Brad

Diestelhorst, James Brad is an individual health care provider with primary practice located at 4545 Cordata Pkwy , Bellingham WA 98226-7123. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Diestelhorst, James Brad can be contacted via phone (360) 738-2200.

Contact Information

Primary practice address
4545 Cordata Pkwy Bellingham WA 98226-7123
Phone: (360) 738-2200
Fax: (360) 752-5687
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD00041071 Washington

Profile Details

NPI number 1336148766
LBN Legal business name Diestelhorst, James Brad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Sep 22nd, 2010 - about 14 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 1336148766 NPPES
Washington Other 4912DI REGENCE
Washington Other 7704353 REGENCE
Washington MEDICAID 1336148766 REGENCE
Washington Other 0230369 REGENCE
Washington Other MD4918W REGENCE
Washington Other 0230369 REGENCE

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