Whidbey Medical Clinic Pllc
LBN: Whidbey Medical Clinic Pllc
Whidbey Medical Clinic Pllc is an health care organization with primary practice located at 231 Se Barrington Dr Suite 209, Oak Harbor WA 98277-3200. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Clinic/Center. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty.
Whidbey Medical Clinic Pllc can be contacted via phone (360) 679-3161, or through Lycksell, Robert L via phone (360) 679-3161.
Contact Information
Primary practice address
231 Se Barrington Dr Suite 209
Oak Harbor WA 98277-3200
Phone: (360) 679-3161
Fax: (360) 679-1741
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X |
Profile Details
| NPI number | 1548260177 |
|---|---|
| LBN Legal business name | Whidbey Medical Clinic Pllc |
| DBA Doing business as | |
| Authorized official | Lycksell, Robert L Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 26th, 2005 |
| Last updated | Dec 4th, 2009 - about 15 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 | 1548260177 | NPPES |
| Washington | Other | S57923 | BLUE CROSS/SHIELD |
| Washington | Other | CC9056 | BLUE CROSS/SHIELD |
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