Fox And Thistle Llc | |
203 W Holly St Ste 320 Bellingham WA 98225-4329 | |
(360) 421-2741 | |
Not Available |
Full Name | Fox And Thistle Llc |
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Speciality | Social Worker |
Location | 203 W Holly St Ste 320, Bellingham, Washington |
Authorized Official Name and Position | Janet E Edwards (PROVIDER) |
Authorized Official Contact | 3604212741 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Fox And Thistle Llc 19091 Cook Rd Burlington WA 98233-9698 Ph: (360) 421-2741 | Fox And Thistle Llc 203 W Holly St Ste 320 Bellingham WA 98225-4329 Ph: (360) 421-2741 |
NPI Number | 1245720861 |
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Provider Enumeration Date | 05/18/2018 |
Last Update Date | 05/18/2018 |
Medicare PECOS PAC ID | 9931432705 |
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Medicare Enrollment ID | O20190610002879 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245720861 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Janet E Edwards |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1568962405 PECOS PAC ID: 8022341809 Enrollment ID: I20190710002349 |
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