Colon & Rectal Surgery Associates Pa

LBN: Colon & Rectal Surgery Associates Pa
Colon & Rectal Surgery Associates Pa is an health care organization with primary practice located at 2341 Mccallie Ave Plaza 3 Suite 305, Chattanooga TN 37404-3239. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as the primary health care specialty. Colon & Rectal Surgery Associates Pa can be contacted via phone (426) 622-2721, or through Shuck, Edwin Haywood via phone (423) 622-2721.

Contact Information

Primary practice address
2341 Mccallie Ave Plaza 3 Suite 305 Chattanooga TN 37404-3239
Fax: (423) 622-5368
Website:
Authorized official contact:
Name: Shuck, Edwin Haywood Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 11816 Tennessee

Profile Details

NPI number 1083882336
LBN Legal business name Colon & Rectal Surgery Associates Pa
DBA Doing business as
Authorized official Shuck, Edwin Haywood Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2008
Last updated Feb 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083882336 NPPES
Other CJ8120 RAILROAD MEDICARE GROUP

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