Provider Demographics
NPI:1306015649
Name:VINETTE ZABRISKIE MD PLLC
Entity Type:Organization
Organization Name:VINETTE ZABRISKIE MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:STITELER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-272-3591
Mailing Address - Street 1:13030 121ST WAY NE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-3008
Mailing Address - Country:US
Mailing Address - Phone:425-825-7898
Mailing Address - Fax:425-823-8273
Practice Address - Street 1:13030 121ST WAY NE
Practice Address - Street 2:SUITE 202
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-3008
Practice Address - Country:US
Practice Address - Phone:425-825-7898
Practice Address - Fax:425-823-8273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-20
Last Update Date:2008-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00019920207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8875973Medicare PIN
WAA05967Medicare UPIN
G8875974Medicare PIN