Overlake Neurology

LBN: Overlake Neurology
Overlake Neurology is an health care organization with primary practice located at 1135 116Th Ave Ne Suite 200, Bellevue WA 98004-4623. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as the primary health care specialty. Overlake Neurology can be contacted via phone (425) 709-7055, or through Fosmire, Daniel P. via phone (425) 709-7055.

Contact Information

Primary practice address
1135 116Th Ave Ne Suite 200 Bellevue WA 98004-4623
Phone: (425) 709-7055
Fax: (425) 709-7066
Website:
Map and Directions
Authorized official contact:
Name: Fosmire, Daniel P. Doctor of Medicine (MD)
Phone: (425) 709-7055

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 602-380-699 Washington

Profile Details

NPI number 1730112285
LBN Legal business name Overlake Neurology
DBA Doing business as
Authorized official Fosmire, Daniel P. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2006
Last updated Dec 3rd, 2010 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1730112285 NPPES
Washington Other 182686 L & I WORKERS COMP GRP #
Washington MEDICAID 7124977 L & I WORKERS COMP GRP #

Popular Providers