Provider Demographics
NPI:1144636697
Name:MAJOR, JOSEPH PAUL IV (LMP)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:PAUL
Last Name:MAJOR
Suffix:IV
Gender:M
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 BENSON RD S
Mailing Address - Street 2:STE 200
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98055-4499
Mailing Address - Country:US
Mailing Address - Phone:425-277-1123
Mailing Address - Fax:
Practice Address - Street 1:2000 BENSON RD S
Practice Address - Street 2:STE 200
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-4499
Practice Address - Country:US
Practice Address - Phone:425-277-1123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-05
Last Update Date:2014-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60410076174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist