Active NPIOrganization

5E Community Clinic, LLC

Acupuncturist in Seattle, Washington

NPI Number1457779738
Practice location
5424 Ballard Ave NW, Suite 301, Seattle, WA 98107-4046
Fax
206-781-1380
Last updated
April 3, 2014

5E Community Clinic, LLC is a healthcare organization based in Seattle, WA. The NPI number for 5E Community Clinic, LLC is 1457779738 and holds license No. WA-585 (WA). The current practice location address is 5424 Ballard Ave NW, Suite 301, Seattle, WA 98107-4046 and the office can be reached by phone at 206-781-1371 and by fax at 206-781-1380. The NPI was assigned on April 3, 2014 and the record was last updated in NPPES on April 3, 2014.

●Provider Profile Details

NPI Number
1457779738
Provider Name
5E Community Clinic, LLC
Entity Type
Organization (Type 2 NPI)
Primary Taxonomy
Acupuncturist · 171100000X
Organization Subpart
No
Authorized Official
Mark R Tibeau, EAMP, LAC · Sole Member · 206-781-1371
Enumeration Date
April 3, 2014
Last Update Date
April 3, 2014
NPI Status
Active

◉Business Practice Location Address

Address
5424 Ballard Ave NW
Suite 301
Seattle, WA 98107-4046
ZIP
98107-4046
Country
US
Phone Number
206-781-1371
Fax Number
206-781-1380

Get directions →

✉Business Mailing Address

Address
5424 Ballard Ave NW
Suite 301
Seattle, WA 98107-4046
City
Seattle
State
WA
ZIP
98107-4046
Phone Number
206-781-1371
Fax Number
206-781-1380

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Acupuncturist
193400000X - Single Specialty Group
171100000XYesWA-585WA

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of 5E Community Clinic, LLC?

The NPI number of 5E Community Clinic, LLC is 1457779738. It was assigned on April 3, 2014 and is currently active in the NPPES registry.

What is the specialty of 5E Community Clinic, LLC?

5E Community Clinic, LLC is registered under the primary taxonomy Acupuncturist (code 171100000X) and holds license No. WA-585 (WA).

Where does 5E Community Clinic, LLC practice?

The practice location is 5424 Ballard Ave NW, Suite 301, Seattle, WA 98107-4046. The office can be reached at 206-781-1371 (phone) or 206-781-1380 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457779738 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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