<Unavail>
LBN: Proliance Surgeons, Inc., P.S.
<Unavail> is an health care organization with primary practice located at 4361 Talbot Rd S Suite 102, Renton WA 98055-6226. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Hand Surgery is the primary health care specialty.
Proliance Surgeons, Inc., P.S. can be contacted via phone (425) 226-1180, or through Fitzgerald, David G. via phone (206) 838-2599.
Contact Information
Primary practice address
4361 Talbot Rd S Suite 102
Renton WA 98055-6226
Phone: (425) 226-1180
Fax: (425) 235-0695
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 601484763 | Washington |
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 601484763 | Washington |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 601484763 | Washington |
Profile Details
| NPI number | 1568875789 |
|---|---|
| LBN Legal business name | Proliance Surgeons, Inc., P.S. |
| DBA Doing business as | <Unavail> |
| Authorized official | Fitzgerald, David G. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 5th, 2014 |
| Last updated | Jun 5th, 2014 - about 12 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 | 1568875789 | NPPES |
| Washington | Other | GAB03033 | MEDICARE PTAN |
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