Amnesia Llc

LBN: Amnesia Llc
Amnesia Llc is an health care organization with primary practice located at 4717 S 19Th St , Tacoma WA 98405-1167. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Amnesia Llc can be contacted via phone (253) 761-0861, or through Smith, Brock M via phone (360) 753-3516.

Contact Information

Primary practice address
4717 S 19Th St Tacoma WA 98405-1167
Phone: (253) 761-0861
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Smith, Brock M CRNA, ARNP
Phone: (360) 753-3516

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X

Profile Details

NPI number 1922202688
LBN Legal business name Amnesia Llc
DBA Doing business as
Authorized official Smith, Brock M CRNA, ARNP
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2007
Last updated Aug 22nd, 2020 - about 6 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 1922202688 NPPES
Washington MEDICAID 9652017

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