Sand Plastic Surgery Pllc
LBN: Sand Plastic Surgery Pllc
Sand Plastic Surgery Pllc is an health care organization with primary practice located at 307 W 6Th Ave Ste 200 , Spokane WA 99204-2502. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Facial Plastic Surgery, which is considered as the primary health care specialty.
Sand Plastic Surgery Pllc can be contacted via phone (509) 324-2980, or through Sand, Jordan P via phone (095) 324-2980.
Contact Information
Primary practice address
307 W 6Th Ave Ste 200
Spokane WA 99204-2502
Phone: (509) 324-2980
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Facial Plastic Surgery | 207YS0123X |
Profile Details
| NPI number | 1306518113 |
|---|---|
| LBN Legal business name | Sand Plastic Surgery Pllc |
| DBA Doing business as | |
| Authorized official | Sand, Jordan P Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 30th, 2021 |
| Last updated | Oct 6th, 2023 - about 3 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 | 1306518113 | NPPES |
| Washington | MEDICAID | 2201492 |
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