Island Dermatology Pllc

LBN: Island Dermatology Pllc
Island Dermatology Pllc is an health care organization with primary practice located at 8435 Se 68Th St Ste 118, Mercer Island WA 98040. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Island Dermatology Pllc can be contacted via phone (206) 232-7546, or through Heupel, Betty J via phone (425) 486-2340.

Contact Information

Primary practice address
8435 Se 68Th St Ste 118 Mercer Island WA 98040
Phone: (206) 232-7546
Fax: (206) 275-0805
Website:
Map and Directions
Authorized official contact:
Name: Heupel, Betty J
Phone: (425) 486-2340

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1215966635
LBN Legal business name Island Dermatology Pllc
DBA Doing business as
Authorized official Heupel, Betty J
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2006
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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1215966635 NPPES
Washington MEDICAID 7105935

Popular Providers