Provider Demographics
NPI:1336447895
Name:GARY'S PLUMBING INC
Entity Type:Organization
Organization Name:GARY'S PLUMBING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, JOURNEYMAN PLUMBER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:G
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:JOURNEYMAN PLUMBER
Authorized Official - Phone:360-457-8249
Mailing Address - Street 1:P.O. BOX 255
Mailing Address - Street 2:
Mailing Address - City:PORT ANGELES
Mailing Address - State:WA
Mailing Address - Zip Code:98362
Mailing Address - Country:US
Mailing Address - Phone:360-457-8249
Mailing Address - Fax:360-457-8135
Practice Address - Street 1:3240 E HWY 101
Practice Address - Street 2:
Practice Address - City:PORT ANGELES
Practice Address - State:WA
Practice Address - Zip Code:98362
Practice Address - Country:US
Practice Address - Phone:360-457-8249
Practice Address - Fax:360-457-8135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-08
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAGARYSPI994KN171WH0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WACOLLIBG00307OtherJOURNEYMAN PLUMBER LIC