Provider Demographics
NPI:1740314772
Name:BELLINGHAM EAR NOSE & THROAT
Entity type:Organization
Organization Name:BELLINGHAM EAR NOSE & THROAT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINIC ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARJI
Authorized Official - Middle Name:
Authorized Official - Last Name:LYKKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-733-0640
Mailing Address - Street 1:2950 SQUALICUM PKWY
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-1857
Mailing Address - Country:US
Mailing Address - Phone:360-671-7530
Mailing Address - Fax:360-733-1034
Practice Address - Street 1:2950 SQUALICUM PKWY
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-1857
Practice Address - Country:US
Practice Address - Phone:360-671-7530
Practice Address - Fax:360-733-1034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty