Mod Skin And Body Clinic

LBN: Mod Skin And Body Clinic
Mod Skin And Body Clinic is an health care organization with primary practice located at 14130 Juanita Dr Ne Ste 110 , Kirkland WA 98034-0127. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Mod Skin And Body Clinic can be contacted via phone (425) 406-8455, or through Tabares, Polly via phone (425) 406-8455.

Contact Information

Primary practice address
14130 Juanita Dr Ne Ste 110 Kirkland WA 98034-0127
Phone: (425) 406-8455
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tabares, Polly
Phone: (425) 406-8455

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1801227327
LBN Legal business name Mod Skin And Body Clinic
DBA Doing business as
Authorized official Tabares, Polly
Entity Organization
Organization subpart 1 No
Enumeration date Dec 9th, 2013
Last updated Jan 10th, 2014 - about 10 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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