Provider Demographics
NPI:1225485766
Name:VAXPOINT LLC
Entity Type:Organization
Organization Name:VAXPOINT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NEAL
Authorized Official - Middle Name:
Authorized Official - Last Name:BAUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-967-3080
Mailing Address - Street 1:170 W DAYTON ST
Mailing Address - Street 2:SUITE 103A
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98020-4162
Mailing Address - Country:US
Mailing Address - Phone:425-967-3080
Mailing Address - Fax:425-361-7162
Practice Address - Street 1:170 W DAYTON ST
Practice Address - Street 2:SUITE 103A
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98020-4162
Practice Address - Country:US
Practice Address - Phone:425-967-3080
Practice Address - Fax:425-361-7162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-14
Last Update Date:2016-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA603520526251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare