Mobile Gastroenterology, Pc

LBN: Mobile Gastroenterology, Pc
Mobile Gastroenterology, Pc is an health care organization with primary practice located at 6701 Airport Blvd Suite A-208, Mobile AL 36608-6705. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Mobile Gastroenterology, Pc can be contacted via phone (251) 639-2101, or through Johnson, Charles Edward via phone (251) 639-2101.

Contact Information

Primary practice address
6701 Airport Blvd Suite A-208 Mobile AL 36608-6705
Fax: (251) 639-9122
Website:
Authorized official contact:
Name: Johnson, Charles Edward Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X

Profile Details

NPI number 1124031141
LBN Legal business name Mobile Gastroenterology, Pc
DBA Doing business as
Authorized official Johnson, Charles Edward Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2006
Last updated Oct 18th, 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 1124031141 NPPES
Other I960 MEDICARE GROUP PROVIDER

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