E'Town Lung Specialist, Psc

LBN: E'Town Lung Specialist, Psc
E'Town Lung Specialist, Psc is an health care organization with primary practice located at 914 N Dixie Ave , Elizabethtown KY 42701-2520. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. E'Town Lung Specialist, Psc can be contacted via phone (270) 735-9066, or through Yazdani, Aijaz A via phone (270) 735-9066.

Contact Information

Primary practice address
914 N Dixie Ave Elizabethtown KY 42701-2520
Fax: (270) 735-9036
Website:
Authorized official contact:
Name: Yazdani, Aijaz A Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1790797702
LBN Legal business name E'Town Lung Specialist, Psc
DBA Doing business as
Authorized official Yazdani, Aijaz A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 12th, 2006
Last updated Jan 13th, 2016 - about 8 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 1790797702 NPPES
Kentucky MEDICAID 64328784
Kentucky Other 290014995

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