Provider Demographics
NPI:1841832367
Name:PHYSICIAN & HEALTHCARE CONSULTING LLC
Entity type:Organization
Organization Name:PHYSICIAN & HEALTHCARE CONSULTING LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:RICKARD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:509-881-4059
Mailing Address - Street 1:3326 NW FIR AVE
Mailing Address - Street 2:
Mailing Address - City:EAST WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98802-8280
Mailing Address - Country:US
Mailing Address - Phone:509-881-8193
Mailing Address - Fax:
Practice Address - Street 1:330 KING ST., STE 5
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-2857
Practice Address - Country:US
Practice Address - Phone:509-881-4059
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PHYSICIAN & HEALTHCARE CONSULTING, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-10-16
Last Update Date:2020-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1982634069Medicaid
WA2145293Medicaid
WA1982634069Medicaid