Jdj Gastro Pllc

LBN: Jdj Gastro Pllc
Jdj Gastro Pllc is an health care organization with primary practice located at 1915 S Main St , Madisonville KY 42431-3353. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Gastroenterology is the primary health care specialty. Jdj Gastro Pllc can be contacted via phone (270) 344-5473, or through Dacosta, John via phone (270) 344-5473.

Contact Information

Primary practice address
1915 S Main St Madisonville KY 42431-3353
Phone: (270) 344-5473
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dacosta, John
Phone: (270) 344-5473

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1831956663
LBN Legal business name Jdj Gastro Pllc
DBA Doing business as
Authorized official Dacosta, John
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2024
Last updated Mar 20th, 2024 - about 2 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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