Breast Clinic Inc

LBN: Breast Clinic Inc
Breast Clinic Inc is an health care organization with primary practice located at 918 Mar Walt Dr , Ft Walton Beach FL 32547-6706. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Breast Clinic Inc can be contacted via phone (850) 863-2006, or through Hanson, Sandra Lee via phone (850) 863-2006.

Contact Information

Primary practice address
918 Mar Walt Dr Ft Walton Beach FL 32547-6706
Phone: (850) 863-2006
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hanson, Sandra Lee Doctor of Medicine (MD)
Phone: (850) 863-2006

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1558337766
LBN Legal business name Breast Clinic Inc
DBA Doing business as
Authorized official Hanson, Sandra Lee Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2006
Last updated Oct 28th, 2011 - about 15 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 1558337766 NPPES
Other D08079 RAILROAD MEDICARE PIN

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