Ave Maria Family Practice, Pllc
LBN: Ave Maria Family Practice, Pllc
Ave Maria Family Practice, Pllc is an health care organization with primary practice located at 1230 Medical Center Dr , Wilmington NC 28401. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Primary Care. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Ave Maria Family Practice, Pllc can be contacted via phone (910) 799-5452, or through Agbafe-Mosley, Dorothy Ejinkonye via phone (910) 799-5452.
Contact Information
Primary practice address
1230 Medical Center Dr
Wilmington NC 28401
Phone: (910) 799-5452
Fax: (910) 799-5479
Website:
Authorized official contact:
Name: Agbafe-Mosley, Dorothy Ejinkonye Doctor of Medicine (MD)
Phone: (910) 799-5452
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2009-01999 | North Carolina |
Ambulatory Health Care Facilities / Primary Care | 261QP2300X | 179288 | North Carolina |
Ambulatory Health Care Facilities / Primary Care | 261QP2300X | 2009-01999 | North Carolina |
Profile Details
NPI number | 1215205539 |
---|---|
LBN Legal business name | Ave Maria Family Practice, Pllc |
DBA Doing business as | |
Authorized official | Agbafe-Mosley, Dorothy Ejinkonye Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Dec 1st, 2011 |
Last updated | Jul 17th, 2018 - about 7 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 | 1215205539 | NPPES |
North Carolina | MEDICAID | 5915683 |
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