Elden St. Pediatrics

LBN: Elden St. Pediatrics
Elden St. Pediatrics is an health care organization with primary practice located at 110 Elden St Suite #D, Herndon VA 20170-4891. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Elden St. Pediatrics can be contacted via phone (703) 471-6996, or through Tetteyfio, Millicent M via phone (703) 471-6996.

Contact Information

Primary practice address
110 Elden St Suite #D Herndon VA 20170-4891
Phone: (703) 471-6996
Fax: (703) 435-7765
Website:
Map and Directions
Authorized official contact:
Name: Tetteyfio, Millicent M Registered Nurse (RN)
Phone: (703) 471-6996

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1215091038
LBN Legal business name Elden St. Pediatrics
DBA Doing business as
Authorized official Tetteyfio, Millicent M Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2006
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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