University Pediatric Endocrinology, Llc

LBN: University Pediatric Endocrinology, Llc
University Pediatric Endocrinology, Llc is an health care organization with primary practice located at 720 2Nd St Ste 102, Bowling Green KY 42101-1778. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Endocrinology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Endocrinology is the primary health care specialty. University Pediatric Endocrinology, Llc can be contacted via phone (502) 629-8821, or through Rabalais, Gerard P via phone (502) 852-8600.

Contact Information

Primary practice address
720 2Nd St Ste 102 Bowling Green KY 42101-1778
Phone: (502) 629-8821
Fax: (502) 629-8824
Website:
Map and Directions
Authorized official contact:
Name: Rabalais, Gerard P Doctor of Medicine (MD)
Phone: (502) 852-8600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X

Profile Details

NPI number 1013216936
LBN Legal business name University Pediatric Endocrinology, Llc
DBA Doing business as
Authorized official Rabalais, Gerard P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 17th, 2011
Last updated Mar 28th, 2011 - about 15 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 1013216936 NPPES
Indiana MEDICAID 200889620
Indiana MEDICAID 7100010410

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