Provider Demographics
NPI:1871356998
Name:NORTHGATE ACCIDENT & INJURY PS
Entity type:Organization
Organization Name:NORTHGATE ACCIDENT & INJURY PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TREVOR
Authorized Official - Middle Name:LOWELL
Authorized Official - Last Name:NABHOLZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:206-420-3531
Mailing Address - Street 1:10564 5TH AVE. NE
Mailing Address - Street 2:SUITE 402
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125
Mailing Address - Country:US
Mailing Address - Phone:206-420-3531
Mailing Address - Fax:206-588-2603
Practice Address - Street 1:10564 5TH AVE. NE
Practice Address - Street 2:SUITE 402
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125
Practice Address - Country:US
Practice Address - Phone:206-420-3531
Practice Address - Fax:206-588-2603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-01
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty