Surgical Weight Loss Clinic Pllc

LBN: Surgical Weight Loss Clinic Pllc
Surgical Weight Loss Clinic Pllc is an health care organization with primary practice located at 3716 Pacific Ave Suite B, Tacoma WA 98418-7836. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Surgical Weight Loss Clinic Pllc can be contacted via phone (253) 472-9850, or through Fox, Samuel Ross via phone (253) 472-9850.

Contact Information

Primary practice address
3716 Pacific Ave Suite B Tacoma WA 98418-7836
Fax:
Website:
Authorized official contact:
Name: Fox, Samuel Ross Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X MD0002094 Washington
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X MD00005293 Washington
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X Washington

Profile Details

NPI number 1811015399
LBN Legal business name Surgical Weight Loss Clinic Pllc
DBA Doing business as
Authorized official Fox, Samuel Ross Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2007
Last updated Jul 21st, 2022 - about 2 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 1811015399 NPPES
Washington Other 1306919725 NPI FOR EARL ROSS FOX
Washington Other 1942363353 NPI FOR EARL ROSS FOX
Washington Other 1016468 NPI FOR EARL ROSS FOX
Washington Other 8178618 NPI FOR EARL ROSS FOX
Washington MEDICAID 7124175 NPI FOR EARL ROSS FOX

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