Providence Physician Group - Cranial Clinic

LBN: Providence Health & Services - Wa
Providence Physician Group - Cranial Clinic is an health care organization with primary practice located at 2320 Rucker Ave Suite A, Everett WA 98201-2723. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as the primary health care specialty. Providence Health & Services - Wa can be contacted via phone (425) 259-5121, or through Quinn, Nichole via phone (425) 525-6715.

Contact Information

Primary practice address
2320 Rucker Ave Suite A Everett WA 98201-2723
Fax: (425) 252-1322
Website:
Authorized official contact:
Name: Quinn, Nichole

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X

Profile Details

NPI number 1144471533
LBN Legal business name Providence Health & Services - Wa
DBA Doing business as Providence Physician Group - Cranial Clinic
Authorized official Quinn, Nichole
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2008
Last updated Dec 27th, 2010 - about 14 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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