Family Practice Of Winchester Pllc

LBN: Family Practice Of Winchester Pllc
Family Practice Of Winchester Pllc is an health care organization with primary practice located at 442 Fairmont Ave , Winchester VA 22601. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Family Practice Of Winchester Pllc can be contacted via phone (540) 723-8992, or through Havron, Milton Dean via phone (540) 723-8992.

Contact Information

Primary practice address
442 Fairmont Ave Winchester VA 22601
Fax: (540) 722-1120
Website:
Authorized official contact:
Name: Havron, Milton Dean Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101055962 Virginia

Profile Details

NPI number 1558452763
LBN Legal business name Family Practice Of Winchester Pllc
DBA Doing business as
Authorized official Havron, Milton Dean Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2006
Last updated Jan 12th, 2010 - about 15 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 1558452763 NPPES
Virginia MEDICAID 005638691

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