E E Hines Iii Md, Pc

LBN: E E Hines Iii Md, Pc
E E Hines Iii Md, Pc is an health care organization with primary practice located at 6263 Poplar Ave Ste 1052, Memphis TN 38119-4701. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as the primary health care specialty. E E Hines Iii Md, Pc can be contacted via phone (901) 761-6157, or through Hines, Elbert E. via phone (901) 761-6157.

Contact Information

Primary practice address
6263 Poplar Ave Ste 1052 Memphis TN 38119-4701
Phone: (901) 761-6157
Fax: (901) 761-4145
Website:
Map and Directions
Authorized official contact:
Name: Hines, Elbert E. Doctor of Medicine (MD)
Phone: (901) 761-6157

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X

Profile Details

NPI number 1083758122
LBN Legal business name E E Hines Iii Md, Pc
DBA Doing business as
Authorized official Hines, Elbert E. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 19th, 2007
Last updated Feb 11th, 2015 - about 11 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 1083758122 NPPES
Other 002008944 BLUE CROSS BLUE SHIELD
Other CL0583 BLUE CROSS BLUE SHIELD
Other 4409209005 BLUE CROSS BLUE SHIELD
MEDICAID 3389063 BLUE CROSS BLUE SHIELD

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