Provider Demographics
NPI:1649235359
Name:MAAS, MATTHIAS K (DC)
Entity type:Individual
Prefix:DR
First Name:MATTHIAS
Middle Name:K
Last Name:MAAS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 NORTHWEST AVE
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-1318
Mailing Address - Country:US
Mailing Address - Phone:360-671-5421
Mailing Address - Fax:360-671-3114
Practice Address - Street 1:3200 NORTHWEST AVE
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-1318
Practice Address - Country:US
Practice Address - Phone:360-671-5421
Practice Address - Fax:360-671-3114
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2016-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA2462111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA350045846OtherRAILROAD MEDICARE
WA39352OtherLABOR & INDUSTRIES
WA38441OtherREGENCE BLUESHIELD
WA39352OtherLABOR & INDUSTRIES
WAG8938356Medicare PIN