Eastside Premier Medicine Pllc

LBN: Eastside Premier Medicine Pllc
Eastside Premier Medicine Pllc is an health care organization with primary practice located at 2950 Northup Way Suite 210, Bellevue WA 98004-1406. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Eastside Premier Medicine Pllc can be contacted via phone (425) 284-3377, or through Donlan, Stacey S. via phone (425) 284-3377.

Contact Information

Primary practice address
2950 Northup Way Suite 210 Bellevue WA 98004-1406
Fax: (425) 827-1040
Website:
Authorized official contact:
Name: Donlan, Stacey S. Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00032729 Washington

Profile Details

NPI number 1518025618
LBN Legal business name Eastside Premier Medicine Pllc
DBA Doing business as
Authorized official Donlan, Stacey S. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2006
Last updated Dec 6th, 2007 - about 18 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 1518025618 NPPES
Washington Other 2950DO REGENCE

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