Whidbey Dermatology

LBN: Island County Dermatology Pllc
Whidbey Dermatology is an health care organization with primary practice located at 205 S Main St Blg A, Coupeville WA 98239-9500. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Island County Dermatology Pllc can be contacted via phone (360) 678-6561, or through Johnson, Donald Russell via phone (360) 678-6561.

Contact Information

Primary practice address
205 S Main St Blg A Coupeville WA 98239-9500
Phone: (360) 678-6561
Fax: (360) 678-7133
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Donald Russell M.D., PH.D.
Phone: (360) 678-6561

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD00038058 Washington

Profile Details

NPI number 1649281320
LBN Legal business name Island County Dermatology Pllc
DBA Doing business as Whidbey Dermatology
Authorized official Johnson, Donald Russell M.D., PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Sep 28th, 2010 - about 16 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 1649281320 NPPES
Washington MEDICAID 1108877
Washington Other 1598790990

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