Provider Demographics
NPI:1952582116
Name:A LEG UP LLC
Entity Type:Organization
Organization Name:A LEG UP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER / PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARSHALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-489-9650
Mailing Address - Street 1:13000 LINDEN AVE N
Mailing Address - Street 2:SUITE # 102
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-7469
Mailing Address - Country:US
Mailing Address - Phone:206-362-0248
Mailing Address - Fax:206-274-4921
Practice Address - Street 1:13000 LINDEN AVE N
Practice Address - Street 2:SUITE 102
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-7469
Practice Address - Country:US
Practice Address - Phone:206-362-0248
Practice Address - Fax:206-274-4921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-16
Last Update Date:2012-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA602209649332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies