Rejuvenation Medical Pllc

LBN: Rejuvenation Medical Pllc
Rejuvenation Medical Pllc is an health care organization with primary practice located at 20011 Ballinger Way Ne , Shoreline WA 98155-1286. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Rejuvenation Medical Pllc can be contacted via phone (206) 407-4171, or through Kretchmar, Joshua via phone (817) 789-2639.

Contact Information

Primary practice address
20011 Ballinger Way Ne Shoreline WA 98155-1286
Phone: (206) 407-4171
Fax: (206) 906-9981
Website:
Map and Directions
Authorized official contact:
Name: Kretchmar, Joshua
Phone: (817) 789-2639

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1447712559
LBN Legal business name Rejuvenation Medical Pllc
DBA Doing business as
Authorized official Kretchmar, Joshua
Entity Organization
Organization subpart 1 No
Enumeration date Apr 5th, 2019
Last updated Apr 5th, 2019 - about 7 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 1447712559 NPPES
Washington Other OP60765453 LICENSE

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