Craig C Ellsworth Dds Inc

LBN: Craig C Ellsworth Dds Inc
Craig C Ellsworth Dds Inc is an health care organization with primary practice located at 826 N Mullan Rd Ste C, Spokane Valley WA 99206-4094. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Craig C Ellsworth Dds Inc can be contacted via phone (509) 924-1580, or through Ellsworth, Craig Cooper via phone (509) 924-1580.

Contact Information

Primary practice address
826 N Mullan Rd Ste C Spokane Valley WA 99206-4094
Phone: (509) 924-1580
Fax: (509) 924-1619
Website:
Map and Directions
Authorized official contact:
Name: Ellsworth, Craig Cooper Doctor of Dental Surgery (DDS)
Phone: (509) 924-1580

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X DE60390327 Washington

Profile Details

NPI number 1043635543
LBN Legal business name Craig C Ellsworth Dds Inc
DBA Doing business as
Authorized official Ellsworth, Craig Cooper Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2014
Last updated Feb 20th, 2014 - about 10 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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