Engelbrecht, Diane E

Engelbrecht, Diane E is an individual health care provider with primary practice located at 19020 33Rd Ave W Suite 210, Lynnwood WA 98036-4746. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Engelbrecht, Diane E can be contacted via phone (425) 563-1500.

Contact Information

Primary practice address
19020 33Rd Ave W Suite 210 Lynnwood WA 98036-4746
Phone: (425) 563-1500
Fax: (425) 563-1501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD00031424 Washington
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD00031424 Washington

Profile Details

NPI number 1275507105
LBN Legal business name Engelbrecht, Diane E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Mar 20th, 2017 - about 7 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 1275507105 NPPES
Washington MEDICAID 1006476
Washington Other 349480
Washington MEDICAID 8150294
Washington Other 300064814
Washington Other 109082
Washington Other EN3948
Washington Other 349474
Washington Other 349476
Washington Other 0870618
Washington Other 349478
Washington Other 8919495

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