Hollenbeck, Phyllis A.M.
Hollenbeck, Phyllis A.M. is an individual health care provider with primary practice located at 19401 40Th Ave W Suite 100, Lynnwood WA 98036-4612. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Hollenbeck, Phyllis A.M. can be contacted via phone (425) 744-7153.Contact Information
Primary practice address
19401 40Th Ave W Suite 100
Lynnwood WA 98036-4612
Phone: (425) 744-7153
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00031748 | Washington |
Profile Details
| NPI number | 1225027006 |
|---|---|
| LBN Legal business name | Hollenbeck, Phyllis A.M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1225027006 | NPPES |
| Washington | MEDICAID | 8367989 |
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