Davidson Prosthetics Llc

LBN: Davidson Prosthetics Llc
Davidson Prosthetics Llc is an health care organization with primary practice located at 11919 Canyon Rd E , Puyallup WA 98373-4456. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Davidson Prosthetics Llc can be contacted via phone (253) 770-6578, or through Davidson, Greg E via phone (253) 651-8250.

Contact Information

Primary practice address
11919 Canyon Rd E Puyallup WA 98373-4456
Phone: (253) 770-6578
Fax: (253) 881-1397
Website:
Map and Directions
Authorized official contact:
Name: Davidson, Greg E CPO
Phone: (253) 651-8250

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X CPO01874 Washington

Profile Details

NPI number 1033360409
LBN Legal business name Davidson Prosthetics Llc
DBA Doing business as
Authorized official Davidson, Greg E CPO
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2008
Last updated Jul 21st, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033360409 NPPES
Washington MEDICAID 9062993

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