Egbert, Michael Andrew
Egbert, Michael Andrew is an individual health care provider with primary practice located at 20910 Sr 410 E , Bonney Lake WA 98391-6302. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Egbert, Michael Andrew can be contacted via phone (253) 862-2575.Contact Information
Primary practice address
20910 Sr 410 E
Bonney Lake WA 98391-6302
Phone: (253) 862-2575
Fax: (253) 862-2675
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT5418 | Washington |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X | PT00005418 | Washington |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | PT00005418 | Washington |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT00005418 | Washington |
Profile Details
| NPI number | 1093897613 |
|---|---|
| LBN Legal business name | Egbert, Michael Andrew |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2006 |
| Last updated | Oct 3rd, 2019 - about 5 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 | 1093897613 | NPPES |
| Washington | MEDICAID | 8543712 | |
| Washington | Other | 171896 | |
| Washington | MEDICAID | 7126303 | |
| Washington | Other | EG4516 | |
| Washington | Other | 246114 | |
| Washington | Other | P00061737 | |
| Washington | Other | 7421EG |
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