Psychological Medicine Clinic Pllc

LBN: Psychological Medicine Clinic Pllc
Psychological Medicine Clinic Pllc is an health care organization with primary practice located at 1810 Westwood Ave W , Wilson NC 27893-2143. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Psychological Medicine Clinic Pllc can be contacted via phone (252) 291-6200, or through Verma, Krishna M via phone (252) 291-6200.

Contact Information

Primary practice address
1810 Westwood Ave W Wilson NC 27893-2143
Phone: (252) 291-6200
Fax: (252) 291-2147
Website:
Map and Directions
Authorized official contact:
Name: Verma, Krishna M Doctor of Medicine (MD)
Phone: (252) 291-6200

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1972644219
LBN Legal business name Psychological Medicine Clinic Pllc
DBA Doing business as
Authorized official Verma, Krishna M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2007
Last updated Nov 14th, 2013 - about 13 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 1972644219 NPPES
North Carolina Other 2157403B MEDICARE P-TAN
North Carolina MEDICAID 8985003 MEDICARE P-TAN

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