Indian Trail Pediatrics

LBN: Carolinas Physicians Network Inc
Indian Trail Pediatrics is an health care organization with primary practice located at 6030 W Highway 74 Suite F, Indian Trail NC 28079-3468. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Carolinas Physicians Network Inc can be contacted via phone (704) 246-2900, or through Wiens, Daniel L via phone (704) 355-0648.

Contact Information

Primary practice address
6030 W Highway 74 Suite F Indian Trail NC 28079-3468
Phone: (704) 246-2900
Fax: (704) 246-2899
Website:
Map and Directions
Authorized official contact:
Name: Wiens, Daniel L
Phone: (704) 355-0648

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1730198185
LBN Legal business name Carolinas Physicians Network Inc
DBA Doing business as Indian Trail Pediatrics
Authorized official Wiens, Daniel L
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1730198185 NPPES
North Carolina MEDICAID 5901967
North Carolina Other 017GY
North Carolina MEDICAID NPB120

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