Atomic Dermatology
LBN: Atomic2 Dermatology Pllc
Atomic Dermatology is an health care organization with primary practice located at 105 S 3Rd Ave , Walla Walla WA 99362-2848. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Medical Specialty, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is the primary health care specialty.
Atomic2 Dermatology Pllc can be contacted via phone (509) 240-2554, or through Kiehn, Jo via phone (509) 233-7546.
Contact Information
Primary practice address
105 S 3Rd Ave
Walla Walla WA 99362-2848
Phone: (509) 240-2554
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
| NPI number | 1891363719 |
|---|---|
| LBN Legal business name | Atomic2 Dermatology Pllc |
| DBA Doing business as | Atomic Dermatology |
| Authorized official | Kiehn, Jo |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 16th, 2021 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891363719 | NPPES |
| Washington | MEDICAID | 2089475 |
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