Fairhaven Dermatology, Pllc
LBN: Fairhaven Dermatology, Pllc
Fairhaven Dermatology, Pllc is an health care organization with primary practice located at 3105 Old Fairhaven Pkwy, Suite 101 , Bellingham WA 98225. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty.
Fairhaven Dermatology, Pllc can be contacted via phone (360) 656-6278, or through Langei, Thomas J. via phone (360) 927-9042.
Contact Information
Primary practice address
3105 Old Fairhaven Pkwy, Suite 101
Bellingham WA 98225
Phone: (360) 656-6278
Fax: (360) 778-1804
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 603616109 | Washington |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 603616109 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 603616109 | Washington |
Profile Details
| NPI number | 1336693902 |
|---|---|
| LBN Legal business name | Fairhaven Dermatology, Pllc |
| DBA Doing business as | |
| Authorized official | Langei, Thomas J. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 11th, 2016 |
| Last updated | Apr 25th, 2019 - about 5 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 | 1336693902 | NPPES |
| Washington | MEDICAID | 2073078 |
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