Provider Demographics
NPI:1235287830
Name:HATTINGH HOLDINGS INC
Entity Type:Organization
Organization Name:HATTINGH HOLDINGS INC
Other - Org Name:NORTHWEST PROSTHETIC & ORTHOTIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:H
Authorized Official - Last Name:HATTINGH
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:206-323-4040
Mailing Address - Street 1:600 BROADWAY
Mailing Address - Street 2:SUITE 190
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-5395
Mailing Address - Country:US
Mailing Address - Phone:206-323-4040
Mailing Address - Fax:206-324-0943
Practice Address - Street 1:2625 WHEATON WAY
Practice Address - Street 2:SUITE B
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98310-3371
Practice Address - Country:US
Practice Address - Phone:360-405-6976
Practice Address - Fax:360-479-1885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9036963Medicaid
WA9036963Medicaid