Gill Memorial Ent Clinic, Pc

LBN: Gill Memorial Ent Clinic, Pc
Gill Memorial Ent Clinic, Pc is an health care organization with primary practice located at 707 S Jefferson St Fl 5 , Roanoke VA 24016-5100. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Gill Memorial Ent Clinic, Pc can be contacted via phone (540) 344-2071, or through Hanabury, Mark R via phone (540) 344-2071.

Contact Information

Primary practice address
707 S Jefferson St Fl 5 Roanoke VA 24016-5100
Phone: (540) 344-2071
Fax: (540) 982-8490
Website:
Map and Directions
Authorized official contact:
Name: Hanabury, Mark R Doctor of Medicine (MD)
Phone: (540) 344-2071

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101031266 Virginia

Profile Details

NPI number 1497957419
LBN Legal business name Gill Memorial Ent Clinic, Pc
DBA Doing business as
Authorized official Hanabury, Mark R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2007
Last updated Jul 30th, 2007 - about 19 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 1497957419 NPPES
Virginia Other 4243474 AETNA
Virginia Other 143175 AETNA
Virginia Other 243144 AETNA
Virginia Other P00143294 AETNA

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