Provider Demographics
NPI:1184091134
Name:BELLINGHAM OSTEOPATHIC CENTER, PC
Entity type:Organization
Organization Name:BELLINGHAM OSTEOPATHIC CENTER, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:STANLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:360-746-8827
Mailing Address - Street 1:1712 D ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-3101
Mailing Address - Country:US
Mailing Address - Phone:360-746-8827
Mailing Address - Fax:360-746-8882
Practice Address - Street 1:1712 D ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-3101
Practice Address - Country:US
Practice Address - Phone:360-746-8827
Practice Address - Fax:360-746-8882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-25
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOP60232161261QM2500X
WAOP60232157261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty