Provider Demographics
NPI:1063906295
Name:WMC INC
Entity type:Organization
Organization Name:WMC INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JUDI
Authorized Official - Middle Name:
Authorized Official - Last Name:WYGANT-COLLIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-441-3242
Mailing Address - Street 1:2600 3RD AVE STE B
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98121-1293
Mailing Address - Country:US
Mailing Address - Phone:206-441-3242
Mailing Address - Fax:206-956-0987
Practice Address - Street 1:2600 3RD AVE STE B
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98121-1293
Practice Address - Country:US
Practice Address - Phone:206-441-3242
Practice Address - Fax:206-956-0987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-20
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA601415811335E00000X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier