Cardiovascular Clinic Of West Tennessee P.C.
LBN: Cardiovascular Clinic Of West Tn Pc
Cardiovascular Clinic Of West Tennessee P.C. is an health care organization with primary practice located at 2968 North Highland Avenue , Jackson TN 38305-3609. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty.
Cardiovascular Clinic Of West Tn Pc can be contacted via phone (731) 256-1819, or through Agbetoyin, Adeyinka Adeboryo via phone (731) 256-1819.
Contact Information
Primary practice address
2968 North Highland Avenue
Jackson TN 38305-3609
Phone: (731) 256-1819
Fax: (731) 664-4330
Website:
Authorized official contact:
Name: Agbetoyin, Adeyinka Adeboryo Doctor of Medicine (MD)
Phone: (731) 256-1819
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 36918 | Tennessee |
Profile Details
| NPI number | 1740480961 |
|---|---|
| LBN Legal business name | Cardiovascular Clinic Of West Tn Pc |
| DBA Doing business as | Cardiovascular Clinic Of West Tennessee P.C. |
| Authorized official | Agbetoyin, Adeyinka Adeboryo Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 25th, 2007 |
| Last updated | Dec 10th, 2010 - about 15 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 | 1740480961 | NPPES |
| Tennessee | MEDICAID | 1501077 | |
| Tennessee | Other | 4160707 |
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