Eastern Shore Internal Medicine, Llc
LBN: Eastern Shore Internal Medicine, Llc
Eastern Shore Internal Medicine, Llc is an health care organization with primary practice located at 374 Greeno Rd S , Fairhope AL 36532-1916. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Eastern Shore Internal Medicine, Llc can be contacted via phone (251) 990-1770, or through Snellgrove, Richard L. via phone (251) 990-1770.
Contact Information
Primary practice address
374 Greeno Rd S
Fairhope AL 36532-1916
Phone: (251) 990-1770
Fax: (251) 990-1771
Website:
Authorized official contact:
Name: Snellgrove, Richard L. Doctor of Medicine (MD)
Phone: (251) 990-1770
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 00016922 | Alabama |
Profile Details
| NPI number | 1891090403 |
|---|---|
| LBN Legal business name | Eastern Shore Internal Medicine, Llc |
| DBA Doing business as | |
| Authorized official | Snellgrove, Richard L. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 13th, 2011 |
| Last updated | Feb 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891090403 | NPPES |
| Alabama | MEDICAID | 000038007 | |
| Alabama | Other | 510-38007 | |
| Alabama | Other | 25-10092 |
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