Provider Demographics
NPI:1760520480
Name:BERNSTEIN, ELIZABETH ARIEL (DC, LAC)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:ARIEL
Last Name:BERNSTEIN
Suffix:
Gender:F
Credentials:DC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 ELM ST
Mailing Address - Street 2:SUITE 16
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-2745
Mailing Address - Country:US
Mailing Address - Phone:360-756-8531
Mailing Address - Fax:360-738-8519
Practice Address - Street 1:2500 ELM ST
Practice Address - Street 2:SUITE 16
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-2745
Practice Address - Country:US
Practice Address - Phone:360-756-8531
Practice Address - Fax:360-738-8519
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00033761111N00000X
WAAC 00000559171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111N00000XChiropractic ProvidersChiropractor
Not Answered171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAGAB32700Medicare ID - Type UnspecifiedMEDICARE PART B