Monticello Plastic And Reconstructive Surgery, Pc
LBN: Monticello Plastic And Reconstructive Surgery, Pc
Monticello Plastic And Reconstructive Surgery, Pc is an health care organization with primary practice located at 1490 Pantops Mountain Pl Suite 100, Charlottesville VA 22911-4601. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as the primary health care specialty.
Monticello Plastic And Reconstructive Surgery, Pc can be contacted via phone (434) 260-5130, or through Showalter, Brian M via phone (434) 260-5130.
Contact Information
Primary practice address
1490 Pantops Mountain Pl Suite 100
Charlottesville VA 22911-4601
Phone: (434) 260-5130
Fax: (434) 995-5948
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 0101255390 | Virginia |
Profile Details
| NPI number | 1023429818 |
|---|---|
| LBN Legal business name | Monticello Plastic And Reconstructive Surgery, Pc |
| DBA Doing business as | |
| Authorized official | Showalter, Brian M Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 14th, 2014 |
| Last updated | Aug 26th, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023429818 | NPPES |
| Virginia | MEDICAID | 1023429818 |
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