Proliance Surgeons Puget Sound Ent
LBN: Proliance Surgeons, Inc., P.S.
Proliance Surgeons Puget Sound Ent is an health care organization with primary practice located at 21911 76Th Ave W Ste 211 , Edmonds WA 98026-7918. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Otology & Neurotology, Speech, Language and Hearing Service Providers / Audiologist, Ambulatory Health Care Facilities / Multi-Specialty. Allopathic & Osteopathic Physicians / Otolaryngology is the primary health care specialty.
Proliance Surgeons, Inc., P.S. can be contacted via phone (425) 775-6651, or through Pleasant, Cori M. via phone (206) 838-2585.
Contact Information
Primary practice address
21911 76Th Ave W Ste 211
Edmonds WA 98026-7918
Phone: (425) 775-6651
Fax: (425) 670-6718
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 601484763 | Washington |
| Allopathic & Osteopathic Physicians / Otology & Neurotology | 207YX0901X | ||
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 601484763 | Washington |
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X |
Profile Details
| NPI number | 1770764342 |
|---|---|
| LBN Legal business name | Proliance Surgeons, Inc., P.S. |
| DBA Doing business as | Proliance Surgeons Puget Sound Ent |
| Authorized official | Pleasant, Cori M. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 23rd, 2007 |
| Last updated | Nov 1st, 2022 - 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 | 1770764342 | NPPES |
| Washington | Other | 227718 | LABOR & INDUSTRIES |
| Washington | MEDICAID | 1060556 | LABOR & INDUSTRIES |
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