Provider Demographics
NPI:1396093191
Name:ZIEGLER, INGEBRITT ELIN (LAC, EAMP)
Entity type:Individual
Prefix:
First Name:INGEBRITT
Middle Name:ELIN
Last Name:ZIEGLER
Suffix:
Gender:F
Credentials:LAC, EAMP
Other - Prefix:
Other - First Name:INGEBRITT
Other - Middle Name:
Other - Last Name:LARSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1222 26TH AVE E
Mailing Address - Street 2:APT B
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98112-3631
Mailing Address - Country:US
Mailing Address - Phone:760-473-1426
Mailing Address - Fax:
Practice Address - Street 1:1222 26TH AVE E
Practice Address - Street 2:APT B
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-3631
Practice Address - Country:US
Practice Address - Phone:760-473-1426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-27
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC60297984171100000X
CAAC14930171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist