Csp Physician Svces

LBN: Community Support Professionals,Llc
Csp Physician Svces is an health care organization with primary practice located at 1606 Wellington Ave Unit C , Wilmington NC 28401-7704. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Community Support Professionals,Llc can be contacted via phone (910) 799-4505, or through Justafort, Martin P via phone (910) 799-4505.

Contact Information

Primary practice address
1606 Wellington Ave Unit C Wilmington NC 28401-7704
Phone: (910) 799-4505
Fax: (910) 799-4345
Website:
Map and Directions
Authorized official contact:
Name: Justafort, Martin P
Phone: (910) 799-4505

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 5912872 North Carolina

Profile Details

NPI number 1588993786
LBN Legal business name Community Support Professionals,Llc
DBA Doing business as Csp Physician Svces
Authorized official Justafort, Martin P
Entity Organization
Organization subpart 1 No
Enumeration date Dec 17th, 2009
Last updated Dec 17th, 2009 - about 17 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 1588993786 NPPES
North Carolina MEDICAID 5912872

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