Advanced Dermatology And Skin Surgery, Pllc
LBN: Advanced Dermatology And Skin Surgery, Pllc
Advanced Dermatology And Skin Surgery, Pllc is an health care organization with primary practice located at 1807 N Hutchinson Rd , Spokane Valley WA 99212-2444. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty.
Advanced Dermatology And Skin Surgery, Pllc can be contacted via phone (509) 456-7414, or through Sears, Joel K via phone (509) 456-7414.
Contact Information
Primary practice address
1807 N Hutchinson Rd
Spokane Valley WA 99212-2444
Phone: (509) 456-7414
Fax: (509) 624-0763
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X | 601724644 | Washington |
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X | Idaho |
Profile Details
| NPI number | 1710952882 |
|---|---|
| LBN Legal business name | Advanced Dermatology And Skin Surgery, Pllc |
| DBA Doing business as | |
| Authorized official | Sears, Joel K Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Apr 26th, 2018 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710952882 | NPPES |
| Washington | MEDICAID | 7084197 | |
| Washington | Other | P00114626 |
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