Llewellyn Phillips Ii M.D., Inc., P.S.

LBN: Llewellyn Phillips Ii M.D., Inc., P.S.
Llewellyn Phillips Ii M.D., Inc., P.S. is an health care organization with primary practice located at 4509 Talbot Rd S Suite 200, Renton WA 98055-6294. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Llewellyn Phillips Ii M.D., Inc., P.S. can be contacted via phone (425) 228-4520, or through Phillips, Llewellyn via phone (425) 228-4900.

Contact Information

Primary practice address
4509 Talbot Rd S Suite 200 Renton WA 98055-6294
Phone: (425) 228-4520
Fax: (425) 226-0283
Website:
Map and Directions
Authorized official contact:
Name: Phillips, Llewellyn Doctor of Medicine (MD)
Phone: (425) 228-4900

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD00013579 Washington

Profile Details

NPI number 1710238449
LBN Legal business name Llewellyn Phillips Ii M.D., Inc., P.S.
DBA Doing business as
Authorized official Phillips, Llewellyn Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2012
Last updated Sep 20th, 2012 - about 12 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 1710238449 NPPES
Washington Other P618 REGENCE BCBS
Washington Other 071661015 REGENCE BCBS
Washington Other 120734144076 REGENCE BCBS
Washington MEDICAID 1681105 REGENCE BCBS

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