Provider Demographics
NPI:1639685811
Name:EXCELLENT CARING, LLC
Entity Type:Organization
Organization Name:EXCELLENT CARING, LLC
Other - Org Name:EXCELLENT CARING MEDICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:S
Authorized Official - Last Name:NEUMAIER
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:425-422-2813
Mailing Address - Street 1:PO BOX 415
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98020-0415
Mailing Address - Country:US
Mailing Address - Phone:425-422-2813
Mailing Address - Fax:
Practice Address - Street 1:10564 5TH AVE NE STE 103
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125
Practice Address - Country:US
Practice Address - Phone:206-399-1434
Practice Address - Fax:855-750-7844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-24
Last Update Date:2019-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA603451042207Q00000X
WAAP60268401261QP2300X
261QP3300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPainGroup - Multi-Specialty