Douglass Cert Pros & Orthotics, Inc

LBN: Douglass Cert Pros & Orthotics, Inc
Douglass Cert Pros & Orthotics, Inc is an health care organization with primary practice located at 15225 Aurora Ave N , Shoreline WA 98133-6123. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Douglass Cert Pros & Orthotics, Inc can be contacted via phone (206) 363-7790, or through Ellis, Glen Stephen via phone (510) 537-1210.

Contact Information

Primary practice address
15225 Aurora Ave N Shoreline WA 98133-6123
Phone: (206) 363-7790
Fax: (206) 363-7688
Website:
Map and Directions
Authorized official contact:
Name: Ellis, Glen Stephen C.P.O
Phone: (510) 537-1210

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X PS00000063 Washington
Suppliers / Prosthetic/Orthotic Supplier 335E00000X OI00000062 Washington

Profile Details

NPI number 1992743090
LBN Legal business name Douglass Cert Pros & Orthotics, Inc
DBA Doing business as
Authorized official Ellis, Glen Stephen C.P.O
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2006
Last updated Dec 14th, 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 1992743090 NPPES
Washington MEDICAID 9041328

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