Douglas L. Vanderbilt, M.D. ,P.C.
LBN: Douglas L. Vanderbilt, M.D. ,P.C.
Douglas L. Vanderbilt, M.D. ,P.C. is an health care organization with primary practice located at 721 Glenwood Dr Memorial Medical Bldg., West Suite 470, Chattanooga TN 37404-1106. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty.
Douglas L. Vanderbilt, M.D. ,P.C. can be contacted via phone (423) 892-9208, or through Vanderbilt, Douglas L via phone (423) 892-9200.
Contact Information
Primary practice address
721 Glenwood Dr Memorial Medical Bldg., West Suite 470
Chattanooga TN 37404-1106
Phone: (423) 892-9208
Fax: (423) 892-9212
Website:
Authorized official contact:
Name: Vanderbilt, Douglas L Doctor of Medicine (MD)
Phone: (423) 892-9200
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 7995 | Tennessee |
Profile Details
| NPI number | 1881885960 |
|---|---|
| LBN Legal business name | Douglas L. Vanderbilt, M.D. ,P.C. |
| DBA Doing business as | |
| Authorized official | Vanderbilt, Douglas L Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 5th, 2007 |
| Last updated | Feb 19th, 2009 - 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 | 1881885960 | NPPES |
| Tennessee | MEDICAID | 3384417 |
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