G4 Athlete

LBN: G4 Athlete Llc
G4 Athlete is an health care organization with primary practice located at 2737 77Th Ave Se Suite 214, Mercer Island WA 98040-2830. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, which is considered as the primary health care specialty. G4 Athlete Llc can be contacted via phone (206) 518-9405, or through George, Brent M via phone (206) 518-9405.

Contact Information

Primary practice address
2737 77Th Ave Se Suite 214 Mercer Island WA 98040-2830
Phone: (206) 518-9405
Fax: (855) 819-0086
Website:
Map and Directions
Authorized official contact:
Name: George, Brent M Master of Physical Therapy (MPT)
Phone: (206) 518-9405

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X 603186027 Washington

Profile Details

NPI number 1740689520
LBN Legal business name G4 Athlete Llc
DBA Doing business as G4 Athlete
Authorized official George, Brent M Master of Physical Therapy (MPT)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2014
Last updated Aug 18th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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