Drs Montenegro & De Wit

LBN: Drs Montenegro & De Wit
Drs Montenegro & De Wit is an health care organization with primary practice located at 310 N State Of Franklin Rd Suite 201, Johnson City TN 37604-6008. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Drs Montenegro & De Wit can be contacted via phone (423) 928-3051, or through De Wit, Albertine via phone (423) 928-3051.

Contact Information

Primary practice address
310 N State Of Franklin Rd Suite 201 Johnson City TN 37604-6008
Phone: (423) 928-3051
Fax: (423) 928-8840
Website:
Map and Directions
Authorized official contact:
Name: De Wit, Albertine Doctor of Medicine (MD)
Phone: (423) 928-3051

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 013647 Tennessee

Profile Details

NPI number 1972602894
LBN Legal business name Drs Montenegro & De Wit
DBA Doing business as
Authorized official De Wit, Albertine Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2006
Last updated Aug 22nd, 2020 - about 4 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 1972602894 NPPES
Tennessee Other 15491 BCBS
Tennessee MEDICAID 3382675 BCBS
Tennessee Other 129760 BCBS

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