Sequim Physician Clinic

LBN: Sequim Physician Clinic
Sequim Physician Clinic is an health care organization with primary practice located at 411 W Washington St , Sequim WA 98382-3343. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Sequim Physician Clinic can be contacted via phone (360) 683-4181, or through Berry, Allen L via phone (360) 683-4181.

Contact Information

Primary practice address
411 W Washington St Sequim WA 98382-3343
Fax: (360) 681-3454
Website:
Authorized official contact:
Name: Berry, Allen L Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X MD00018876 Washington

Profile Details

NPI number 1740238054
LBN Legal business name Sequim Physician Clinic
DBA Doing business as
Authorized official Berry, Allen L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740238054 NPPES
Washington Other AP30005395 LICENSE GLORIA REDMOND
Washington Other AP30003686 LICENSE GLORIA REDMOND
Washington MEDICAID 7098833 LICENSE GLORIA REDMOND
Washington Other MD00018876 LICENSE GLORIA REDMOND

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