Dpmleonheartprwa Llc

LBN: Dpmleonheartprwa Llc
Dpmleonheartprwa Llc is an health care organization with primary practice located at 10116 116Th St E Suite 103, Puyallup WA 98373-3543. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty. Dpmleonheartprwa Llc can be contacted via phone (253) 841-3668, or through Leonheart, Eric Edward via phone (253) 841-3668.

Contact Information

Primary practice address
10116 116Th St E Suite 103 Puyallup WA 98373-3543
Phone: (253) 841-3668
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Leonheart, Eric Edward
Phone: (253) 841-3668

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO00000778 Washington

Profile Details

NPI number 1326229485
LBN Legal business name Dpmleonheartprwa Llc
DBA Doing business as
Authorized official Leonheart, Eric Edward
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2007
Last updated Oct 10th, 2008 - about 16 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 1326229485 NPPES
Washington MEDICAID 1121714

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