Proliance Puyallup Surgeons
LBN: Proliance Surgeons, Inc., P.S.
Proliance Puyallup Surgeons is an health care organization with primary practice located at 1519 3Rd St Se Ste 210 , Puyallup WA 98372-3742. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology, Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Ambulatory Health Care Facilities / Multi-Specialty, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty.
Proliance Surgeons, Inc., P.S. can be contacted via phone (253) 840-4994, or through Pleasant, Cori M. via phone (206) 838-2585.
Contact Information
Primary practice address
1519 3Rd St Se Ste 210
Puyallup WA 98372-3742
Phone: (253) 840-4994
Fax: (253) 770-1105
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 601484763 | Washington |
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | 601484763 | Washington |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 601484763 | Washington |
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 601484763 | Washington |
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1255736971 |
|---|---|
| LBN Legal business name | Proliance Surgeons, Inc., P.S. |
| DBA Doing business as | Proliance Puyallup Surgeons |
| Authorized official | Pleasant, Cori M. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 23rd, 2014 |
| Last updated | Nov 1st, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255736971 | NPPES |
| Washington | Other | 338355 | WA LABOR & INDUSTRIES |
| Washington | Other | 0532700054 | WA LABOR & INDUSTRIES |
| Washington | MEDICAID | 2042632 | WA LABOR & INDUSTRIES |
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