Provider Demographics
NPI:1972875094
Name:BALE, SYDNEY (EAMP, LMP)
Entity Type:Individual
Prefix:MISS
First Name:SYDNEY
Middle Name:
Last Name:BALE
Suffix:
Gender:F
Credentials:EAMP, LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6920 ROOSEVELT WAY NE
Mailing Address - Street 2:#199
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-6635
Mailing Address - Country:US
Mailing Address - Phone:206-235-1416
Mailing Address - Fax:
Practice Address - Street 1:1126 34TH AVE
Practice Address - Street 2:SUITE #201
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-5136
Practice Address - Country:US
Practice Address - Phone:206-235-1416
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-05
Last Update Date:2015-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist