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Contact Information

ROBERT QUACKENBUSH MD PLLC
40L W POPLAR ST
WALLA WALLA, WA99362
 Phone: 509-525-2220
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for ROBERT QUACKENBUSH MD PLLC

NPI # 1043404163
LBN Legal business name ROBERT QUACKENBUSH MD PLLC
Authorized official ROBERT QUACKENBUSH - (MD)
Entity Organization
Organization subpart 1 No
Enumeration date 08/31/2007
Last updated 01/28/2008 - About 18 years ago
Identifiers
WA License # MD00039975
WA Other DA4111 RRMC
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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