<Unavail>

LBN: Wake Specialty Physicians, Llc
<Unavail> is an health care organization with primary practice located at 2406 Blue Ridge Rd Suite 190, Raleigh NC 27607-6678. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Wake Specialty Physicians, Llc can be contacted via phone (919) 789-4322, or through Jayoussi, Maria via phone (919) 350-6089.

Contact Information

Primary practice address
2406 Blue Ridge Rd Suite 190 Raleigh NC 27607-6678
Phone: (919) 789-4322
Fax: (919) 789-4533
Website:
Map and Directions
Authorized official contact:
Name: Jayoussi, Maria
Phone: (919) 350-6089

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1265848154
LBN Legal business name Wake Specialty Physicians, Llc
DBA Doing business as <Unavail>
Authorized official Jayoussi, Maria
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2014
Last updated Dec 31st, 2015 - about 11 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 1265848154 NPPES
North Carolina MEDICAID 1013297365
North Carolina Other 7108950009

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