Provider Demographics
NPI:1952334575
Name:NEUROSURGICAL CONSULTANTS OF WASHINGTON INC. PS
Entity Type:Organization
Organization Name:NEUROSURGICAL CONSULTANTS OF WASHINGTON INC. PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:206-368-1701
Mailing Address - Street 1:1560 N 115TH ST
Mailing Address - Street 2:209
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-8414
Mailing Address - Country:US
Mailing Address - Phone:206-368-1704
Mailing Address - Fax:206-363-0019
Practice Address - Street 1:1560 N 115TH ST
Practice Address - Street 2:209
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-8414
Practice Address - Country:US
Practice Address - Phone:206-368-1701
Practice Address - Fax:206-363-0019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2009-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7128366Medicaid
WAGAB14859Medicare PIN