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Contact Information

SEATTLE SPINE GROUP, PLLC
1220 116TH AVE NE STE 102
BELLEVUE, WA98004
 Phone: 425-454-0406
 Fax: 425-454-8225
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SEATTLE SPINE GROUP, PLLC

NPI # 1356827828
LBN Legal business name SEATTLE SPINE GROUP, PLLC
Authorized official LUCY HOSTETTER - (MANAGING MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/17/2018
Last updated 06/11/2019 - About 7 years ago
Identifiers
WA License # MD00040889
WA License # MD60174685
WA Other MD60174685 STATE MEDICAL LICENSE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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