Pine Lake Family Medicine

LBN: Carolinas Physicians Network Inc.
Pine Lake Family Medicine is an health care organization with primary practice located at 4105 Matthews Mint Hill Rd , Matthews NC 28105-3633. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Carolinas Physicians Network Inc. can be contacted via phone (704) 545-4609, or through Wiens, Daniel L. via phone (704) 355-0648.

Contact Information

Primary practice address
4105 Matthews Mint Hill Rd Matthews NC 28105-3633
Phone: (704) 545-4609
Fax: (704) 545-4798
Website:
Map and Directions
Authorized official contact:
Name: Wiens, Daniel L.
Phone: (704) 355-0648

Health care specialties

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

Profile Details

NPI number 1215125919
LBN Legal business name Carolinas Physicians Network Inc.
DBA Doing business as Pine Lake Family Medicine
Authorized official Wiens, Daniel L.
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 9th, 2007
Last updated Dec 22nd, 2010 - about 14 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 1215125919 NPPES
North Carolina MEDICAID 5908365

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