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
Phone: (206) 518-9405
Fax: (888) 446-7044
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X | PT00005681 | Washington |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT00005681 | Washington |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649252164 | NPPES |
| Washington | Other | 0071593 | LABOR AND INDUSTRIES |
| Washington | Other | GE0814 | LABOR AND INDUSTRIES |
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