Healthcare Provider Details

I. General information

NPI: 1710083068
Provider Name (Legal Business Name): AMICABLE MEDICAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15220B 32ND AVENUE SOUTH
SEATAC WA
98188
US

IV. Provider business mailing address

15220B 32ND AVENUE SOUTH
SEATAC WA
98188
US

V. Phone/Fax

Practice location:
  • Phone: 206-246-0550
  • Fax: 206-246-0562
Mailing address:
  • Phone: 206-246-0550
  • Fax: 206-246-0562

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: OLANDAPO A AMOSUN
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 206-444-4810