Ear Nose Throat Facial Plastic Surgery And Allergy Of Western Wa

LBN: Ear Nose Throat Facial Plastic Surgery And Allergy Of Western Wa
Ear Nose Throat Facial Plastic Surgery And Allergy Of Western Wa is an health care organization with primary practice located at 1427 Jefferson Ave , Enumclaw WA 98022-3613. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery is the primary health care specialty. Ear Nose Throat Facial Plastic Surgery And Allergy Of Western Wa can be contacted via phone (360) 825-4466, or through Becker, Nancy A via phone (360) 825-4466.

Contact Information

Primary practice address
1427 Jefferson Ave Enumclaw WA 98022-3613
Phone: (360) 825-4466
Fax: (360) 825-2064
Website:
Map and Directions
Authorized official contact:
Name: Becker, Nancy A Doctor of Osteopathy (DO)
Phone: (360) 825-4466

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X OP00001317 Washington

Profile Details

NPI number 1346493806
LBN Legal business name Ear Nose Throat Facial Plastic Surgery And Allergy Of Western Wa
DBA Doing business as
Authorized official Becker, Nancy A Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 28th, 2008
Last updated Jan 8th, 2019 - about 6 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 1346493806 NPPES
Washington MEDICAID 7144611

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