Provider Demographics
NPI:1467517193
Name:EDDY, BELINDA (DC)
Entity Type:Individual
Prefix:
First Name:BELINDA
Middle Name:
Last Name:EDDY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15111 MAIN ST STE A103
Mailing Address - Street 2:
Mailing Address - City:MILL CREEK
Mailing Address - State:WA
Mailing Address - Zip Code:98012-9037
Mailing Address - Country:US
Mailing Address - Phone:425-742-7772
Mailing Address - Fax:425-742-9001
Practice Address - Street 1:15111 MAIN ST STE A103
Practice Address - Street 2:
Practice Address - City:MILL CREEK
Practice Address - State:WA
Practice Address - Zip Code:98012-9037
Practice Address - Country:US
Practice Address - Phone:425-742-7772
Practice Address - Fax:425-742-7772
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00003634111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA602128895000Medicare UPIN
WAGAB34558Medicare ID - Type Unspecified