Provider Demographics
NPI:1245628072
Name:WHIDBEY NATURALS INC.
Entity type:Organization
Organization Name:WHIDBEY NATURALS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN OF BOARD OF DIRECTORS
Authorized Official - Prefix:DR
Authorized Official - First Name:C.
Authorized Official - Middle Name:HUGH
Authorized Official - Last Name:JONSON
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:360-240-8489
Mailing Address - Street 1:31650 STATE ROUTE 20 STE 1
Mailing Address - Street 2:
Mailing Address - City:OAK HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98277-3173
Mailing Address - Country:US
Mailing Address - Phone:360-240-8489
Mailing Address - Fax:360-588-6081
Practice Address - Street 1:31650 STATE ROUTE 20 STE 1
Practice Address - Street 2:
Practice Address - City:OAK HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98277-3173
Practice Address - Country:US
Practice Address - Phone:360-240-8489
Practice Address - Fax:360-588-6081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-31
Last Update Date:2014-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND100202261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service