1150 Main Street Inc
LBN: 1150 Main Street Inc
1150 Main Street Inc is an health care organization with primary practice located at 1150 Main St Ste 3 , Watsonville CA 95076-3760. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
1150 Main Street Inc can be contacted via phone (831) 728-0551, or through Dickinson, Shirley L via phone (831) 728-0551.
Contact Information
Primary practice address
1150 Main St Ste 3
Watsonville CA 95076-3760
Phone: (831) 728-0551
Fax: (831) 728-3679
Website:
Authorized official contact:
Name: Dickinson, Shirley L Doctor of Medicine (MD)
Phone: (831) 728-0551
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G56281 | California |
Profile Details
NPI number | 1912347261 |
---|---|
LBN Legal business name | 1150 Main Street Inc |
DBA Doing business as | |
Authorized official | Dickinson, Shirley L Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jul 1st, 2013 |
Last updated | Jul 1st, 2013 - 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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