Purchase Derm-Ent, Pllc

LBN: Purchase Derm-Ent, Pllc
Purchase Derm-Ent, Pllc is an health care organization with primary practice located at 2605 Kentucky Avenue Dob 3, Suite 601, Paducah KY 42003-3800. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Speech, Language and Hearing Service Providers / Audiologist, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Otolaryngology is the primary health care specialty. Purchase Derm-Ent, Pllc can be contacted via phone (270) 408-4368, or through Jones, Shawn C via phone (570) 408-4368.

Contact Information

Primary practice address
2605 Kentucky Avenue Dob 3, Suite 601 Paducah KY 42003-3800
Phone: (270) 408-4368
Fax: (570) 408-3272
Website:
Map and Directions
Authorized official contact:
Name: Jones, Shawn C Doctor of Medicine (MD)
Phone: (570) 408-4368

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X
Speech, Language and Hearing Service Providers / Audiologist 231H00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1336101179
LBN Legal business name Purchase Derm-Ent, Pllc
DBA Doing business as
Authorized official Jones, Shawn C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 5th, 2006
Last updated May 30th, 2012 - about 14 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 1336101179 NPPES
Kentucky MEDICAID 7100198720
Kentucky MEDICAID 78903721

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