One Source Medical
LBN: One Source Medical
One Source Medical is an health care organization with primary practice located at 18730 33Rd Ave W , Lynnwood WA 98037-4756. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is the primary health care specialty.
One Source Medical can be contacted via phone (425) 774-8600, or through Osborne, Cory via phone (425) 780-0310.
Contact Information
Primary practice address
18730 33Rd Ave W
Lynnwood WA 98037-4756
Phone: (425) 774-8600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 60207940 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP30003917 | Washington |
Profile Details
| NPI number | 1225497233 |
|---|---|
| LBN Legal business name | One Source Medical |
| DBA Doing business as | |
| Authorized official | Osborne, Cory Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 18th, 2016 |
| Last updated | Feb 18th, 2016 - about 10 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 | 1225497233 | NPPES |
| Washington | MEDICAID | 9618364 |
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