George, Brent M

George, Brent M is an individual health care provider with primary practice located at 2737 77Th Ave Se Ste 214, Mercer Island WA 98040-2832. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. George, Brent M can be contacted via phone (206) 518-9405.

Contact Information

Primary practice address
2737 77Th Ave Se Ste 214 Mercer Island WA 98040-2832
Fax: (888) 446-7044
Website:

Profile Details

NPI number 1649252164
LBN Legal business name George, Brent M
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Sep 1st, 2020 - about 4 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 1649252164 NPPES
Washington Other 0071593 LABOR AND INDUSTRIES
Washington Other GE0814 LABOR AND INDUSTRIES

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