Lake Champlain Physician Services
LBN: Lake Champlain Physician Services
Lake Champlain Physician Services is an health care organization with primary practice located at 210 Cornelia St Suite 303, Plattsburgh NY 12901-2318. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Lake Champlain Physician Services can be contacted via phone (518) 562-7541, or through Rietsema, Wouter via phone (518) 562-7330.
Contact Information
Primary practice address
210 Cornelia St Suite 303
Plattsburgh NY 12901-2318
Phone: (518) 562-7541
Fax: (518) 562-7542
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X |
Profile Details
| NPI number | 1083915268 |
|---|---|
| LBN Legal business name | Lake Champlain Physician Services |
| DBA Doing business as | |
| Authorized official | Rietsema, Wouter Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 4th, 2010 |
| Last updated | Nov 4th, 2010 - about 16 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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