Walk In Clinic Of Sparta Llc.

LBN: Walk In Clinic Of Sparta Llc.
Walk In Clinic Of Sparta Llc. is an health care organization with primary practice located at 396 N Spring St , Sparta TN 38583-1327. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as the primary health care specialty. Walk In Clinic Of Sparta Llc. can be contacted via phone (931) 836-2228, or through Durbin, Wayne via phone (931) 836-2228.

Contact Information

Primary practice address
396 N Spring St Sparta TN 38583-1327
Phone: (931) 836-2228
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Durbin, Wayne PHYSICIAN ASSISTANT
Phone: (931) 836-2228

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA0000000834 Tennessee

Profile Details

NPI number 1952438020
LBN Legal business name Walk In Clinic Of Sparta Llc.
DBA Doing business as
Authorized official Durbin, Wayne PHYSICIAN ASSISTANT
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2007
Last updated Mar 2nd, 2009 - about 17 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 1952438020 NPPES
Tennessee Other 3725921 MEDICARE GROUP PTAN NUMBER

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