Provider Demographics
NPI:1922167311
Name:ISLAND HEALTH CONSULTING INC
Entity Type:Organization
Organization Name:ISLAND HEALTH CONSULTING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT ISLAND HEALTH CONSULTING
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:D
Authorized Official - Last Name:BENTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:360-588-9108
Mailing Address - Street 1:316 O AVE
Mailing Address - Street 2:
Mailing Address - City:ANACORTES
Mailing Address - State:WA
Mailing Address - Zip Code:98221-1542
Mailing Address - Country:US
Mailing Address - Phone:360-588-9108
Mailing Address - Fax:360-588-0258
Practice Address - Street 1:316 O AVE
Practice Address - Street 2:
Practice Address - City:ANACORTES
Practice Address - State:WA
Practice Address - Zip Code:98221-1542
Practice Address - Country:US
Practice Address - Phone:360-588-9108
Practice Address - Fax:360-588-0258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2008-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00001951111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAB08697Medicare ID - Type Unspecified