CHESNUT INSTITUTE OF COSMETIC & RECONSTRUCTIVE SURGERY NPI 1063935286

NPI Information

NPI: 1063935286
Provider Name: CHESNUT INSTITUTE OF COSMETIC & RECONSTRUCTIVE SURGERY
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 50D2138171

Address:
510 S COWLEY ST
SPOKANE, WA
ZIP 99202
Phone: (208) 640-1488
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CHESNUT INSTITUTE OF COSMETIC & RECONSTRUCTIVE SURGERY is an ambulatory surgical clinic center in Spokane, WA. CHESNUT INSTITUTE OF COSMETIC & RECONSTRUCTIVE SURGERY NPI is 1063935286. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

510 S COWLEY ST
SPOKANE, WA
ZIP 99202-332
Phone: (208) 640-1488

The provider's authorized official is Cameron Chesnut .
The authorized official title is President / Owner and has the following contact phone number (208) 640-1488.

The CLIA number assigned to this NPI record is 50D2138171 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/19/2017 and was last updated on 2/28/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207N00000X	Dermatology				No
2	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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