Provider Demographics
NPI:1881916187
Name:WEINRICH, ANDREAS (LMP)
Entity type:Individual
Prefix:MR
First Name:ANDREAS
Middle Name:
Last Name:WEINRICH
Suffix:
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 1:2633 GRANT ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-3508
Mailing Address - Country:US
Mailing Address - Phone:812-322-6433
Mailing Address - Fax:
Practice Address - Street 1:1224 HARRIS AVE STE 108
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-7152
Practice Address - Country:US
Practice Address - Phone:812-322-6433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-28
Last Update Date:2015-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INMT20901614173C00000X
WAMA60496647173C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173C00000XOther Service ProvidersReflexologist