W. Wallace Webster Md Llc

LBN: W. Wallace Webster Md Llc
W. Wallace Webster Md Llc is an health care organization with primary practice located at 620 Commercial Ave Ste A , Coos Bay OR 97420-1846. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Facial Plastic Surgery, which is considered as the primary health care specialty. W. Wallace Webster Md Llc can be contacted via phone (541) 297-5342, or through Webster, William Wallace via phone (541) 297-5342.

Contact Information

Primary practice address
620 Commercial Ave Ste A Coos Bay OR 97420-1846
Phone: (541) 297-5342
Fax: (541) 808-0415
Website:
Map and Directions
Authorized official contact:
Name: Webster, William Wallace Doctor of Medicine (MD)
Phone: (541) 297-5342

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X

Profile Details

NPI number 1407470214
LBN Legal business name W. Wallace Webster Md Llc
DBA Doing business as
Authorized official Webster, William Wallace Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2020
Last updated Jun 8th, 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 1407470214 NPPES
Oregon MEDICAID 274244

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