Atomic Dermatology Llc

LBN: Atomic Dermatology Llc
Atomic Dermatology Llc is an health care organization with primary practice located at 9221 Sandifur Pkwy Ste A , Pasco WA 99301-9241. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as the primary health care specialty. Atomic Dermatology Llc can be contacted via phone (509) 233-7546, or through Haines, Vicki via phone (509) 301-6451.

Contact Information

Primary practice address
9221 Sandifur Pkwy Ste A Pasco WA 99301-9241
Phone: (509) 233-7546
Fax: (509) 795-3508
Website:
Map and Directions
Authorized official contact:
Name: Haines, Vicki DCNP
Phone: (509) 301-6451

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP60211812 Washington

Profile Details

NPI number 1770009706
LBN Legal business name Atomic Dermatology Llc
DBA Doing business as
Authorized official Haines, Vicki DCNP
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2017
Last updated Jan 9th, 2023 - about last year

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 1770009706 NPPES
Washington MEDICAID 2089475

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