Orthopedic Specialists/Valley Sports Medicine Of Poa

LBN: Proliance Surgeons, Inc., P.S.
Orthopedic Specialists/Valley Sports Medicine Of Poa is an health care organization with primary practice located at 4361 Talbot Rd S Suite 102, Renton WA 98055-6226. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Hand Surgery is the primary health care specialty. Proliance Surgeons, Inc., P.S. can be contacted via phone (425) 226-1180, or through Fitzgerald, David G. via phone (206) 838-2599.

Contact Information

Primary practice address
4361 Talbot Rd S Suite 102 Renton WA 98055-6226
Phone: (425) 226-1180
Fax: (425) 235-0695
Website:
Map and Directions
Authorized official contact:
Name: Fitzgerald, David G.
Phone: (206) 838-2599

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 601484763 Washington
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 601484763 Washington
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 601484763 Washington

Profile Details

NPI number 1568875789
LBN Legal business name Proliance Surgeons, Inc., P.S.
DBA Doing business as Orthopedic Specialists/Valley Sports Medicine Of Poa
Authorized official Fitzgerald, David G.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2014
Last updated Jun 5th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568875789 NPPES
Washington Other GAB03033 MEDICARE PTAN

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