Healthcare Provider Details

I. General information

NPI: 1881882637
Provider Name (Legal Business Name): WILLIAM MASCHMEIER CO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2007
Last Update Date: 06/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 BROADWAY STE 190
SEATTLE WA
98122-5371
US

IV. Provider business mailing address

600 BROADWAY STE 190
SEATTLE WA
98122-5371
US

V. Phone/Fax

Practice location:
  • Phone: 206-323-4040
  • Fax: 206-324-0943
Mailing address:
  • Phone: 206-323-4040
  • Fax: 206-324-0943

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224P00000X
TaxonomyProsthetist
License NumberPS00000480
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code222Z00000X
TaxonomyOrthotist
License NumberOI00000479
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: