Triad Ent Pa

LBN: Triad Ent Pa
Triad Ent Pa is an health care organization with primary practice located at 106 W Medical Park Dr Suite C, Lexington NC 27292-6853. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Triad Ent Pa can be contacted via phone (336) 249-3551, or through Phillips, Michael Jerome via phone (336) 249-3551.

Contact Information

Primary practice address
106 W Medical Park Dr Suite C Lexington NC 27292-6853
Phone: (336) 249-3551
Fax: (336) 249-2697
Website:
Map and Directions
Authorized official contact:
Name: Phillips, Michael Jerome Doctor of Medicine (MD)
Phone: (336) 249-3551

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 38408 North Carolina

Profile Details

NPI number 1447345616
LBN Legal business name Triad Ent Pa
DBA Doing business as
Authorized official Phillips, Michael Jerome Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2006
Last updated Feb 16th, 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.

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