Kitsap Colorectal Surgery Inc Ps

LBN: Kitsap Colorectal Surgery Inc Ps
Kitsap Colorectal Surgery Inc Ps is an health care organization with primary practice located at 2528 Wheaton Way Suite 103, Bremerton WA 98310-3305. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty. Kitsap Colorectal Surgery Inc Ps can be contacted via phone (360) 377-4717, or through Green, Johnny B via phone (360) 377-4717.

Contact Information

Primary practice address
2528 Wheaton Way Suite 103 Bremerton WA 98310-3305
Phone: (360) 377-4717
Fax: (360) 377-4134
Website:
Map and Directions
Authorized official contact:
Name: Green, Johnny B Doctor of Medicine (MD)
Phone: (360) 377-4717

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35113 Washington
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 35113 Washington

Profile Details

NPI number 1245566348
LBN Legal business name Kitsap Colorectal Surgery Inc Ps
DBA Doing business as
Authorized official Green, Johnny B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2009
Last updated Oct 23rd, 2009 - about 16 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 1245566348 NPPES
Washington MEDICAID 1109032

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