Iclinic, Pa

LBN: Iclinic, Pa
Iclinic, Pa is an health care organization with primary practice located at 755 Highland Oaks Dr Suite 202, Winston-Salem NC 27103-7106. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Iclinic, Pa can be contacted via phone (336) 760-0070, or through Llibre, Giovanni via phone (336) 760-0070.

Contact Information

Primary practice address
755 Highland Oaks Dr Suite 202 Winston-Salem NC 27103-7106
Phone: (336) 760-0070
Fax: (336) 760-0017
Website:
Map and Directions
Authorized official contact:
Name: Llibre, Giovanni Doctor of Medicine (MD)
Phone: (336) 760-0070

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 9900918 North Carolina

Profile Details

NPI number 1316999691
LBN Legal business name Iclinic, Pa
DBA Doing business as
Authorized official Llibre, Giovanni Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2006
Last updated Jun 18th, 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 1316999691 NPPES
North Carolina Other 016XT BCBS OF NORTH CAROLINA
North Carolina MEDICAID 5950540 BCBS OF NORTH CAROLINA

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