Irving S Gottfried Md Pc

LBN: Irving S Gottfried Md Pc
Irving S Gottfried Md Pc is an health care organization with primary practice located at 800 Oak St Suite 2-105, Farmville VA 23901-1199. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Irving S Gottfried Md Pc can be contacted via phone (434) 392-6877, or through Gottfried, Irving Sass via phone (434) 392-6877.

Contact Information

Primary practice address
800 Oak St Suite 2-105 Farmville VA 23901-1199
Phone: (434) 392-6877
Fax: (434) 392-8809
Website:
Map and Directions
Authorized official contact:
Name: Gottfried, Irving Sass Doctor of Medicine (MD)
Phone: (434) 392-6877

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101039536 Virginia

Profile Details

NPI number 1508055591
LBN Legal business name Irving S Gottfried Md Pc
DBA Doing business as
Authorized official Gottfried, Irving Sass Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2007
Last updated Oct 16th, 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 1508055591 NPPES
Virginia MEDICAID 6046258
Virginia Other 042514
Virginia Other 1000013150
Virginia Other 53907

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