Eastside Rheumatology Pllc

LBN: Eastside Rheumatology Pllc
Eastside Rheumatology Pllc is an health care organization with primary practice located at 1380 112Th Ave Ne Ste 202 , Bellevue WA 98004-3759. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as the primary health care specialty. Eastside Rheumatology Pllc can be contacted via phone (425) 590-9521, or through Ta, Kent T via phone (206) 240-6423.

Contact Information

Primary practice address
1380 112Th Ave Ne Ste 202 Bellevue WA 98004-3759
Phone: (425) 590-9521
Fax: (425) 590-9574
Website:
Map and Directions
Authorized official contact:
Name: Ta, Kent T Doctor of Medicine (MD)
Phone: (206) 240-6423

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X

Profile Details

NPI number 1578241139
LBN Legal business name Eastside Rheumatology Pllc
DBA Doing business as
Authorized official Ta, Kent T Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2023
Last updated Jul 5th, 2023 - about last year

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 1578241139 NPPES
Washington Other MD00040870 WA MEDICAL LICENSE

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