Spine Team Spokane
LBN: T Daniel Dibble Md Pc
Spine Team Spokane is an health care organization with primary practice located at 1123 N Evergreen Rd , Spokane Valley WA 99216-1138. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is the primary health care specialty.
T Daniel Dibble Md Pc can be contacted via phone (509) 363-3100, or through Dibble, T Daniel via phone (509) 363-3100.
Contact Information
Primary practice address
1123 N Evergreen Rd
Spokane Valley WA 99216-1138
Phone: (509) 363-3100
Fax: (509) 363-0300
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | M-7950 | Idaho |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | MD00048246 | Washington |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | MD00042632 | Washington |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT60041936 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA10003398 | Washington |
Profile Details
| NPI number | 1780754499 |
|---|---|
| LBN Legal business name | T Daniel Dibble Md Pc |
| DBA Doing business as | Spine Team Spokane |
| Authorized official | Dibble, T Daniel Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 9th, 2006 |
| Last updated | Jul 17th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780754499 | NPPES |
| Washington | Other | 217798 | LABOR AND INDUSTRIES |
| Washington | MEDICAID | 805808900 | LABOR AND INDUSTRIES |
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