Shipley, Eric R

Shipley, Eric R is an individual health care provider with primary practice located at 1035 116Th Ave Ne , Bellevue WA 98004-4604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Shipley, Eric R can be contacted via phone (425) 688-5124.

Contact Information

Primary practice address
1035 116Th Ave Ne Bellevue WA 98004-4604
Phone: (425) 688-5124
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X MD00038537 Washington

Profile Details

NPI number 1811099815
LBN Legal business name Shipley, Eric R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Jul 30th, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1811099815 NPPES
Washington Other 5272SH REGENCE B/S PROV #
Washington MEDICAID 8256299 REGENCE B/S PROV #
Washington Other 0185720 REGENCE B/S PROV #

Popular Providers