Haberstro, James K
Haberstro, James K is an individual health care provider with primary practice located at 4935 Point Fosdick Dr Nw Suites F200 & F300, Gig Harbor WA 98335-1851. He recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Haberstro, James K can be contacted via phone (253) 258-3355.Contact Information
Primary practice address
4935 Point Fosdick Dr Nw Suites F200 & F300
Gig Harbor WA 98335-1851
Phone: (253) 258-3355
Fax: (253) 258-3356
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT3697 | Washington |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics | 2251G0304X | PT3697 | Washington |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology | 2251N0400X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X |
Profile Details
| NPI number | 1740280254 |
|---|---|
| LBN Legal business name | Haberstro, James K |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2005 |
| Last updated | Mar 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740280254 | NPPES |
| Washington | MEDICAID | 8333296 |
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