Provider Demographics
NPI:1043966799
Name:HOLISTIC APPROACH LLC
Entity type:Organization
Organization Name:HOLISTIC APPROACH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SID
Authorized Official - Middle Name:H
Authorized Official - Last Name:SIAHPUSH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:425-209-0202
Mailing Address - Street 1:10500 BEARDSLEE BLVD UNIT 1665
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98041-0300
Mailing Address - Country:US
Mailing Address - Phone:425-209-0202
Mailing Address - Fax:425-249-3175
Practice Address - Street 1:12025 115TH AVE NE STE 200
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-6935
Practice Address - Country:US
Practice Address - Phone:425-209-0202
Practice Address - Fax:425-249-3175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-22
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAMD60240047OtherWA STATE LICENSE