Poulos, Michael James

Poulos, Michael James is an individual health care provider with primary practice located at 1611 Broadway , Bellingham WA 98225-3039. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is his primary health care specialty. Poulos, Michael James can be contacted via phone (360) 676-4263.

Contact Information

Primary practice address
1611 Broadway Bellingham WA 98225-3039
Phone: (360) 676-4263
Fax: (360) 671-3366
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 2251H1200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X

Profile Details

NPI number 1154302081
LBN Legal business name Poulos, Michael James
Credentials OTR L CHT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Sep 6th, 2007 - about 18 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 1154302081 NPPES
Washington Other 5692P0 REGENCE BLUE SHIELD
Washington Other 0156374 REGENCE BLUE SHIELD
Washington Other 8935446 REGENCE BLUE SHIELD
Washington Other 1960076 REGENCE BLUE SHIELD
Washington MEDICAID 7682388 REGENCE BLUE SHIELD

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