Charlotte Medical Clinic
LBN: Charlotte Medical Clinic
Charlotte Medical Clinic is an health care organization with primary practice located at 1001 Blythe Blvd Mcp Suite 500, Charlotte NC 28203-5874. The organization recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Charlotte Medical Clinic can be contacted via phone (704) 355-5100, or through Wiens, Daniel L via phone (704) 355-0648.
Contact Information
Primary practice address
1001 Blythe Blvd Mcp Suite 500
Charlotte NC 28203-5874
Phone: (704) 355-5100
Fax: (704) 355-5180
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ||
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | ||
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ||
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ||
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | ||
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X |
Profile Details
| NPI number | 1083649214 |
|---|---|
| LBN Legal business name | Charlotte Medical Clinic |
| DBA Doing business as | |
| Authorized official | Wiens, Daniel L |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Sep 9th, 2008 - about 16 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 | 1083649214 | NPPES |
| North Carolina | MEDICAID | 89012Y0 |
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