Tristan Medical Pc

LBN: Tristan Medical Pc
Tristan Medical Pc is an health care organization with primary practice located at 1340 Belmont St , Brockton MA 02301-4404. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Tristan Medical Pc can be contacted via phone (508) 583-1400, or through Thibert, Julie S. via phone (508) 583-1400.

Contact Information

Primary practice address
1340 Belmont St Brockton MA 02301-4404
Fax:
Website:
Authorized official contact:
Name: Thibert, Julie S. Doctor of Osteopathy (DO)

Health care specialties

Profile Details

NPI number 1154492700
LBN Legal business name Tristan Medical Pc
DBA Doing business as
Authorized official Thibert, Julie S. Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2006
Last updated Mar 3rd, 2022 - about 5 months 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 1154492700 NPPES
Massachusetts Other M18009 PRACTICE GROUP # BCBS
Massachusetts MEDICAID 9749900 PRACTICE GROUP # BCBS

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