21St Century Health Care Clinic Pllc

LBN: 21St Century Health Care Clinic Pllc
21St Century Health Care Clinic Pllc is an health care organization with primary practice located at 1019 N Highland Ave , Murfreesboro TN 37130-2450. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as the primary health care specialty. 21St Century Health Care Clinic Pllc can be contacted via phone (615) 217-7765, or through Sellers, David Mark via phone (615) 217-7765.

Contact Information

Primary practice address
1019 N Highland Ave Murfreesboro TN 37130-2450
Phone: (615) 217-7765
Fax: (615) 217-1513
Website:
Map and Directions
Authorized official contact:
Name: Sellers, David Mark Doctor of Medicine (MD)
Phone: (615) 217-7765

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 27422 Tennessee

Profile Details

NPI number 1598952202
LBN Legal business name 21St Century Health Care Clinic Pllc
DBA Doing business as
Authorized official Sellers, David Mark Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2007
Last updated Sep 26th, 2007 - 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 1598952202 NPPES
Tennessee MEDICAID 3726277

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