Organization
WHIDBEY MEDICAL EQUIPMENT SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELI BENTABOU DC (OWNER/DOCTOR)
(360) 331-6145
Entity
Organization
Contact information
Practice address
1705 MAIN STREET, FREELAND, WA 98249
(360) 320-0372
(360) 331-2202
Mailing address
PO BOX 1237, FREELAND, WA 98249-1237
(360) 320-0372
(360) 331-2225
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
—
—
225000000X
Orthotic Fitter
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952549057
NPI AS CHIROPRACTOR
WA
Enumeration date
06/05/2020
Last updated
05/25/2022
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