Provider Demographics
NPI:1154438422
Name:CONATY, NEIL (LAC)
Entity type:Individual
Prefix:
First Name:NEIL
Middle Name:
Last Name:CONATY
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1181 NAKATA PL NW
Mailing Address - Street 2:
Mailing Address - City:BAINBRIDGE ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98110-1788
Mailing Address - Country:US
Mailing Address - Phone:206-842-0779
Mailing Address - Fax:
Practice Address - Street 1:515 MINOR AVE STE 16
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2112
Practice Address - Country:US
Practice Address - Phone:206-622-0246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00000108171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist