Proliance Eastside Surgical Specialists
LBN: Proliance Surgeons, Inc., P.S.
Proliance Eastside Surgical Specialists is an health care organization with primary practice located at 1231 116Th Ave Ne Ste 930 , Bellevue WA 98004-3804. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Ambulatory Health Care Facilities / Multi-Specialty. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty.
Proliance Surgeons, Inc., P.S. can be contacted via phone (425) 668-1916, or through Pleasant, Cori M. via phone (206) 838-2585.
Contact Information
Primary practice address
1231 116Th Ave Ne Ste 930
Bellevue WA 98004-3804
Phone: (425) 668-1916
Fax: (425) 688-1901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 601484763 | Washington |
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | ||
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X |
Profile Details
| NPI number | 1578801718 |
|---|---|
| LBN Legal business name | Proliance Surgeons, Inc., P.S. |
| DBA Doing business as | Proliance Eastside Surgical Specialists |
| Authorized official | Pleasant, Cori M. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 23rd, 2013 |
| Last updated | Aug 17th, 2023 - about last year |
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 | 1578801718 | NPPES |
| Washington | MEDICAID | 2024876 | |
| Washington | Other | 307116 |
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