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Contact Information

5E COMMUNITY CLINIC, LLC
5424 BALLARD AVE NW
SUITE 301
SEATTLE, WA98107-4046
 Phone: 206-781-1371
 Fax: 206-781-1380
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for 5E COMMUNITY CLINIC, LLC

NPI # 1457779738
LBN Legal business name 5E COMMUNITY CLINIC, LLC
Authorized official MARK TIBEAU - (SOLE MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/03/2014
Last updated 04/03/2014 - About 12 years ago
Identifiers
WA License # WA-585
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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