Provider Demographics
NPI:1851504930
Name:PERLMUTTER, JOSEPH KENT (LAC, MSA, BSNHS)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:KENT
Last Name:PERLMUTTER
Suffix:
Gender:M
Credentials:LAC, MSA, BSNHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3612 COLBY AVE
Mailing Address - Street 2:UPPER
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-4773
Mailing Address - Country:US
Mailing Address - Phone:425-258-1513
Mailing Address - Fax:425-258-1513
Practice Address - Street 1:3612 COLBY AVE
Practice Address - Street 2:A
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-4773
Practice Address - Country:US
Practice Address - Phone:425-258-1513
Practice Address - Fax:425-258-1513
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00000181171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist