Ashleybrook Clinic Pa
LBN: Ashleybrook Clinic Pa
Ashleybrook Clinic Pa is an health care organization with primary practice located at 1321 Ashleybrook Lane , Winston Salem NC 27103-2918. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Pain Medicine. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty.
Ashleybrook Clinic Pa can be contacted via phone (336) 659-9045, or through Phan, Thai T via phone (336) 659-9045.
Contact Information
Primary practice address
1321 Ashleybrook Lane
Winston Salem NC 27103-2918
Phone: (336) 659-9045
Fax: (336) 659-7866
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 28930 | North Carolina |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 28930 | North Carolina |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 28930 | North Carolina |
Profile Details
| NPI number | 1699828475 |
|---|---|
| LBN Legal business name | Ashleybrook Clinic Pa |
| DBA Doing business as | |
| Authorized official | Phan, Thai T Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Aug 1st, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699828475 | NPPES |
| North Carolina | Other | 0152F | BCBS |
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