Provider Demographics
NPI:1255562914
Name:SABDY, MICHAEL JAMES (LMP)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:JAMES
Last Name:SABDY
Suffix:
Gender:M
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33110 1ST PL SW
Mailing Address - Street 2:APPT#1005
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98023-6223
Mailing Address - Country:US
Mailing Address - Phone:253-209-6303
Mailing Address - Fax:
Practice Address - Street 1:1727 S 316TH ST
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-5499
Practice Address - Country:US
Practice Address - Phone:253-946-7777
Practice Address - Fax:253-946-1001
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-29
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60002589174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist