Provider Demographics
NPI:1881755106
Name:FOLLMAN AGENCY
Entity type:Organization
Organization Name:FOLLMAN AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:HARRIET
Authorized Official - Middle Name:
Authorized Official - Last Name:FOLLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:BA, MAC, CCDCII
Authorized Official - Phone:360-755-1125
Mailing Address - Street 1:910 S ANACORTES ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98233-3010
Mailing Address - Country:US
Mailing Address - Phone:360-755-1125
Mailing Address - Fax:360-757-1125
Practice Address - Street 1:910 S ANACORTES ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98233-3010
Practice Address - Country:US
Practice Address - Phone:360-755-1125
Practice Address - Fax:360-757-1125
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization