Broadway Sports And Internal Medicine
LBN: Broadway Sports And Internal Medicine
Broadway Sports And Internal Medicine is an health care organization with primary practice located at 1600 116Th Ave Ne Suite 202, Bellevue WA 98004-3014. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Broadway Sports And Internal Medicine can be contacted via phone (206) 215-2288, or through Schuster, Gary Richard via phone (206) 215-2288.
Contact Information
Primary practice address
1600 116Th Ave Ne Suite 202
Bellevue WA 98004-3014
Phone: (206) 215-2288
Fax: (206) 215-2289
Website:
Authorized official contact:
Name: Schuster, Gary Richard Doctor of Medicine (MD)
Phone: (206) 215-2288
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | MD0019545 | Washington |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD0019545 | Washington |
Profile Details
| NPI number | 1396803797 |
|---|---|
| LBN Legal business name | Broadway Sports And Internal Medicine |
| DBA Doing business as | |
| Authorized official | Schuster, Gary Richard Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 5th, 2006 |
| Last updated | Nov 4th, 2016 - about 9 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 | 1396803797 | NPPES |
| Washington | Other | MD0019545 | WA STATE LICENSE |
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