Aesthetic & General Dermatology Of Seattle

LBN: Aesthetic & General Dermatology Of Seattle
Aesthetic & General Dermatology Of Seattle is an health care organization with primary practice located at 13610 1St Ave S , Burien WA 98168-3404. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Aesthetic & General Dermatology Of Seattle can be contacted via phone (206) 248-5020, or through Levy, Elie via phone (206) 248-5020.

Contact Information

Primary practice address
13610 1St Ave S Burien WA 98168-3404
Phone: (206) 248-5020
Fax: (206) 244-8425
Website:
Map and Directions
Authorized official contact:
Name: Levy, Elie Doctor of Medicine (MD)
Phone: (206) 248-5020

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD00000034385 Washington

Profile Details

NPI number 1518962935
LBN Legal business name Aesthetic & General Dermatology Of Seattle
DBA Doing business as
Authorized official Levy, Elie Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2005
Last updated Jun 18th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518962935 NPPES
Washington MEDICAID 7089576 GRP
Washington MEDICAID 1742402
Washington MEDICAID 8214637

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