Proactive Orthopedic And Sports Physical Therapy Of Vancouver, Llc

LBN: Proactive Orthopedic And Sports Physical Therapy Of Vancouver, Llc
Proactive Orthopedic And Sports Physical Therapy Of Vancouver, Llc is an health care organization with primary practice located at 805 Broadway St , Vancouver WA 98660-3213. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Proactive Orthopedic And Sports Physical Therapy Of Vancouver, Llc can be contacted via phone (360) 823-0138, or through Kraut, Larry Dean via phone (503) 740-8847.

Contact Information

Primary practice address
805 Broadway St Vancouver WA 98660-3213
Fax: (360) 823-0141
Website:
Authorized official contact:
Name: Kraut, Larry Dean

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 602338111 Washington

Profile Details

NPI number 1235190950
LBN Legal business name Proactive Orthopedic And Sports Physical Therapy Of Vancouver, Llc
DBA Doing business as
Authorized official Kraut, Larry Dean
Entity Organization
Organization subpart 1 No
Enumeration date Mar 31st, 2006
Last updated Jul 25th, 2008 - 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 1235190950 NPPES
Washington MEDICAID 7122260

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