Eusterbrock, Alexis Anne
Eusterbrock, Alexis Anne is an individual health care provider with primary practice located at 11821 Ne 128Th St Ste C , Kirkland WA 98034-7210. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Eusterbrock, Alexis Anne can be contacted via phone (425) 285-1250.Contact Information
Primary practice address
11821 Ne 128Th St Ste C
Kirkland WA 98034-7210
Phone: (425) 285-1250
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT00010524 | Washington |
Profile Details
| NPI number | 1346430659 |
|---|---|
| LBN Legal business name | Eusterbrock, Alexis Anne |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2007 |
| Last updated | Jul 7th, 2015 - about 9 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 | 1346430659 | NPPES |
| Washington | Other | 0290887 | DEPT. OF LABOR AND INDUSTRIES |
| Washington | MEDICAID | 8492563 | DEPT. OF LABOR AND INDUSTRIES |
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