Provider Demographics
NPI:1699890996
Name:SILBER, PENELOPE DEAN (DC)
Entity type:Individual
Prefix:DR
First Name:PENELOPE
Middle Name:DEAN
Last Name:SILBER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 NW ALDER PL
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-3244
Mailing Address - Country:US
Mailing Address - Phone:425-313-0433
Mailing Address - Fax:425-313-5069
Practice Address - Street 1:15 NW ALDER PL
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-3244
Practice Address - Country:US
Practice Address - Phone:425-313-0433
Practice Address - Fax:425-313-5069
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA3333111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA464445Medicare UPIN