Lake Washington Vascular Pllc

LBN: Lake Washington Vascular Pllc
Lake Washington Vascular Pllc is an health care organization with primary practice located at 1135 116Th Ave Ne Ste 305 , Bellevue WA 98004-4623. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as the primary health care specialty. Lake Washington Vascular Pllc can be contacted via phone (425) 453-1772, or through Pepper, Daniel via phone (425) 453-1772.

Contact Information

Primary practice address
1135 116Th Ave Ne Ste 305 Bellevue WA 98004-4623
Phone: (425) 453-1772
Fax: (425) 453-0603
Website:
Map and Directions
Authorized official contact:
Name: Pepper, Daniel Doctor of Medicine (MD)
Phone: (425) 453-1772

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X

Profile Details

NPI number 1942292875
LBN Legal business name Lake Washington Vascular Pllc
DBA Doing business as
Authorized official Pepper, Daniel Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 17th, 2005
Last updated Feb 25th, 2015 - about 9 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 1942292875 NPPES
Washington MEDICAID 7105083
Washington Other CH9340

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