Proliance Eastside Ent
LBN: Proliance Surgeons, Inc., P.S.
Proliance Eastside Ent is an health care organization with primary practice located at 12333 Ne 130Th Ln Ste 440 , Kirkland WA 98034-7467. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, Ambulatory Health Care Facilities / Multi-Specialty, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Allopathic & Osteopathic Physicians / Otolaryngology is the primary health care specialty.
Proliance Surgeons, Inc., P.S. can be contacted via phone (425) 899-3838, or through Kleisle, Laura via phone (206) 838-2590.
Contact Information
Primary practice address
12333 Ne 130Th Ln Ste 440
Kirkland WA 98034-7467
Phone: (425) 899-3838
Fax: (425) 671-0367
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | ||
| Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery | 207YX0905X | ||
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X |
Profile Details
| NPI number | 1528304292 |
|---|---|
| LBN Legal business name | Proliance Surgeons, Inc., P.S. |
| DBA Doing business as | Proliance Eastside Ent |
| Authorized official | Kleisle, Laura |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 27th, 2012 |
| Last updated | May 27th, 2021 - about 3 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 | 1528304292 | NPPES |
| Washington | MEDICAID | 2001403 | |
| Washington | Other | 222338 |
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