Providence Physician Group - Everett Neuro

LBN: Providence Health & Services - Wa
Providence Physician Group - Everett Neuro is an health care organization with primary practice located at 1330 Rockefeller Ave Suite 220, Everett WA 98201-1684. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurological Surgery, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Neurological Surgery is the primary health care specialty. Providence Health & Services - Wa can be contacted via phone (425) 261-4920, or through Anderson, Donald W via phone (425) 525-5392.

Contact Information

Primary practice address
1330 Rockefeller Ave Suite 220 Everett WA 98201-1684
Phone: (425) 261-4920
Fax: (425) 261-4988
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Donald W
Phone: (425) 525-5392

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1760633879
LBN Legal business name Providence Health & Services - Wa
DBA Doing business as Providence Physician Group - Everett Neuro
Authorized official Anderson, Donald W
Entity Organization
Organization subpart 1 No
Enumeration date Oct 7th, 2008
Last updated Aug 17th, 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.

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