Pediatric Associates Of West Tennessee Pllc

LBN: Pediatric Associates Of West Tennessee Pllc
Pediatric Associates Of West Tennessee Pllc is an health care organization with primary practice located at 1501 Brayton Ave , Dyersburg TN 38024-3158. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Pediatric Associates Of West Tennessee Pllc can be contacted via phone (731) 285-4111, or through Ellerbrook, Jamie L via phone (731) 285-4111.

Contact Information

Primary practice address
1501 Brayton Ave Dyersburg TN 38024-3158
Phone: (731) 285-4111
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ellerbrook, Jamie L
Phone: (731) 285-4111

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 0000014756 Tennessee

Profile Details

NPI number 1679929285
LBN Legal business name Pediatric Associates Of West Tennessee Pllc
DBA Doing business as
Authorized official Ellerbrook, Jamie L
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2016
Last updated Sep 1st, 2016 - about 10 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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