Eastglen Pediatrics, Inc.

LBN: Eastglen Pediatrics, Inc.
Eastglen Pediatrics, Inc. is an health care organization with primary practice located at 6495 E Broad St Suite A, Columbus OH 43213-1541. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Eastglen Pediatrics, Inc. can be contacted via phone (614) 866-8077, or through Polster, L. Robert via phone (614) 866-8077.

Contact Information

Primary practice address
6495 E Broad St Suite A Columbus OH 43213-1541
Phone: (614) 866-8077
Fax: (614) 866-9752
Website:
Map and Directions
Authorized official contact:
Name: Polster, L. Robert Doctor of Medicine (MD)
Phone: (614) 866-8077

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 35031032 Ohio

Profile Details

NPI number 1659413839
LBN Legal business name Eastglen Pediatrics, Inc.
DBA Doing business as
Authorized official Polster, L. Robert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1659413839 NPPES
Ohio MEDICAID 0222244

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