Jackson Pediatrics

LBN: Jackson Pediatric Associates, Llc
Jackson Pediatrics is an health care organization with primary practice located at 557 E Broadway Ave , Jackson WY 83001-8640. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Primary Care. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Jackson Pediatric Associates, Llc can be contacted via phone (307) 733-4627, or through Riddell, Travis John via phone (307) 733-4627.

Contact Information

Primary practice address
557 E Broadway Ave Jackson WY 83001-8640
Phone: (307) 733-4627
Fax: (307) 733-5184
Website:
Map and Directions
Authorized official contact:
Name: Riddell, Travis John Doctor of Medicine (MD)
Phone: (307) 733-4627

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1912335530
LBN Legal business name Jackson Pediatric Associates, Llc
DBA Doing business as Jackson Pediatrics
Authorized official Riddell, Travis John Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2013
Last updated Oct 16th, 2013 - about 12 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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