Provider Demographics
NPI:1154377257
Name:NOREHAD, ERNEST A (MD)
Entity type:Individual
Prefix:
First Name:ERNEST
Middle Name:A
Last Name:NOREHAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12815 120TH AVE NE
Mailing Address - Street 2:SUITE E
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-3003
Mailing Address - Country:US
Mailing Address - Phone:425-899-4646
Mailing Address - Fax:
Practice Address - Street 1:12815 120TH AVE NE
Practice Address - Street 2:SUITE E
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-3003
Practice Address - Country:US
Practice Address - Phone:425-899-4646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00010285174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAN590OtherREGENCE
WA18057OtherLABOR AND INSURSTRIES
WA756341169OtherRAILROAD MEDICARE
WA756341169OtherRAILROAD MEDICARE
WA18057OtherLABOR AND INSURSTRIES