Basic Information
Provider Information
NPI: 1487086781
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ESSIG
FirstName: ELIZABETH
MiddleName: JOAN
NamePrefix: MRS.
NameSuffix:  
Credential: BS, RRT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 9600 VETERANS DR
Address2: AL-111-RESP
City: TACOMA
State: WA
PostalCode: 984935000
CountryCode: US
TelephoneNumber: 2535828440
FaxNumber: 2535894164
Practice Location
Address1: 9600 VETERANS DR
Address2: AL-111-RESP
City: TACOMA
State: WA
PostalCode: 984935000
CountryCode: US
TelephoneNumber: 2535828440
FaxNumber: 2535894164
Other Information
ProviderEnumerationDate: 08/08/2013
LastUpdateDate: 08/08/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
227900000XLR00002671WAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered 

No ID Information.


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