Southeastern Medical, Pa
LBN: Southeastern Medical, Pa
Southeastern Medical, Pa is an health care organization with primary practice located at 830 Sunset Blvd N , Sunset Beach NC 28468-4262. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is the primary health care specialty.
Southeastern Medical, Pa can be contacted via phone (910) 575-5750, or through Lepore, Henry via phone (910) 575-5750.
Contact Information
Primary practice address
830 Sunset Blvd N
Sunset Beach NC 28468-4262
Phone: (910) 575-5750
Fax: (910) 575-5751
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 10022 | North Carolina |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 96-01376 | North Carolina |
Profile Details
| NPI number | 1730192626 |
|---|---|
| LBN Legal business name | Southeastern Medical, Pa |
| DBA Doing business as | |
| Authorized official | Lepore, Henry Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 14th, 2006 |
| Last updated | Sep 27th, 2010 - about 16 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 | 1730192626 | NPPES |
| North Carolina | MEDICAID | 8911413 | |
| North Carolina | Other | 11413 |
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