Vande Pol, Philip
Vande Pol, Philip is an individual health care provider with primary practice located at 19017 120Th Ave Ne Bldg 1 Suite 111, Bothell WA 98011-9510. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Vande Pol, Philip can be contacted via phone (425) 489-3420.Contact Information
Primary practice address
19017 120Th Ave Ne Bldg 1 Suite 111
Bothell WA 98011-9510
Phone: (425) 489-3420
Fax: (425) 489-3421
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 4927 | Oregon |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT00010802 | Washington |
Profile Details
| NPI number | 1639155237 |
|---|---|
| LBN Legal business name | Vande Pol, Philip |
| Credentials | PT, DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 16th, 2005 |
| Last updated | Nov 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639155237 | NPPES |
| Washington | MEDICAID | 1639155237 | |
| Washington | MEDICAID | 8501348 | |
| Washington | MEDICAID | 278011 |
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