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:
Map and Directions
Authorized official contact:
Name: Dickinson, Shirley L Doctor of Medicine (MD)
Phone: (831) 728-0551

Health care specialties

SpecialtyCodeLicense #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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