Basic Information
| Provider Information | |||||||||
| NPI: | 1881882637 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MASCHMEIER | ||||||||
| FirstName: | WILLIAM | ||||||||
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| Credential: | CO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 600 BROADWAY STE 190 | ||||||||
| Address2: | |||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981225371 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2063234040 | ||||||||
| FaxNumber: | 2063240943 | ||||||||
| Practice Location | |||||||||
| Address1: | 600 BROADWAY STE 190 | ||||||||
| Address2: | |||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981225371 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2063234040 | ||||||||
| FaxNumber: | 2063240943 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/05/2007 | ||||||||
| LastUpdateDate: | 06/29/2009 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 224P00000X | PS00000480 | WA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Prosthetist | 222Z00000X | OI00000479 | WA | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Orthotist |
No ID Information.