1212Med

LBN: 1212 Med Pllc
1212Med is an health care organization with primary practice located at 405 E Laburnum Ave Ste 3 , Richmond VA 23222-2134. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. 1212 Med Pllc can be contacted via phone (540) 200-8821, or through Burgess, Henry via phone (540) 682-3082.

Contact Information

Primary practice address
405 E Laburnum Ave Ste 3 Richmond VA 23222-2134
Phone: (540) 200-8821
Fax: (540) 779-7889
Website:
Map and Directions
Authorized official contact:
Name: Burgess, Henry Doctor of Medicine (MD)
Phone: (540) 682-3082

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1982470100
LBN Legal business name 1212 Med Pllc
DBA Doing business as 1212Med
Authorized official Burgess, Henry Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2023
Last updated Mar 7th, 2024 - about 8 months 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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