Bellevue Sports Medicine Clinic Inc
LBN: Bellevue Sports Medicine Clinic Inc
Bellevue Sports Medicine Clinic Inc is an health care organization with primary practice located at 11400 Se 6Th St Suite 130, Bellevue WA 98004-6423. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty.
Bellevue Sports Medicine Clinic Inc can be contacted via phone (425) 455-0699, or through Kowalchuk, Keely J via phone (425) 455-0699.
Contact Information
Primary practice address
11400 Se 6Th St Suite 130
Bellevue WA 98004-6423
Phone: (425) 455-0699
Fax: (425) 455-1541
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT00010137 | Washington |
Profile Details
| NPI number | 1124039870 |
|---|---|
| LBN Legal business name | Bellevue Sports Medicine Clinic Inc |
| DBA Doing business as | |
| Authorized official | Kowalchuk, Keely J Physical Therapist (PT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Dec 5th, 2007 - about 17 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 | 1124039870 | NPPES |
| Washington | Other | 0030120 | WA DEPT LABOR AND INDUSTR |
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