Eastside Dermatology Inc Ps
LBN: Eastside Dermatology Inc Ps
Eastside Dermatology Inc Ps is an health care organization with primary practice located at 14030 Ne 24Th St Suite 202, Bellevue WA 98007-3724. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty.
Eastside Dermatology Inc Ps can be contacted via phone (425) 454-1104, or through Jennings, Melanie A via phone (425) 454-1104.
Contact Information
Primary practice address
14030 Ne 24Th St Suite 202
Bellevue WA 98007-3724
Phone: (425) 454-1104
Fax: (425) 454-1290
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ||
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | ||
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X |
Profile Details
| NPI number | 1649379231 |
|---|---|
| LBN Legal business name | Eastside Dermatology Inc Ps |
| DBA Doing business as | |
| Authorized official | Jennings, Melanie A |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649379231 | NPPES |
| Washington | MEDICAID | 7080237 | |
| Washington | Other | CN9262 |
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