Evergreen Clinic, Pllc

LBN: Evergreen Clinic, Pllc
Evergreen Clinic, Pllc is an health care organization with primary practice located at 14540 John Marshall Hwy Ste 202 , Gainesville VA 20155-1693. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Evergreen Clinic, Pllc can be contacted via phone (703) 753-9700, or through Stiles, Jacqueline via phone (443) 622-9641.

Contact Information

Primary practice address
14540 John Marshall Hwy Ste 202 Gainesville VA 20155-1693
Phone: (703) 753-9700
Fax: (703) 753-9701
Website:
Map and Directions
Authorized official contact:
Name: Stiles, Jacqueline DPT
Phone: (443) 622-9641

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2305209030 Virginia

Profile Details

NPI number 1265954960
LBN Legal business name Evergreen Clinic, Pllc
DBA Doing business as
Authorized official Stiles, Jacqueline DPT
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2017
Last updated Jul 13th, 2017 - 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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