Id Micro Pllc

LBN: Id Micro Pllc
Id Micro Pllc is an health care organization with primary practice located at 130 W Ravine Rd , Kingsport TN 37660-3837. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as the primary health care specialty. Id Micro Pllc can be contacted via phone (423) 915-1126, or through Maki, Anton via phone (423) 915-1126.

Contact Information

Primary practice address
130 W Ravine Rd Kingsport TN 37660-3837
Phone: (423) 915-1126
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Maki, Anton Doctor of Medicine (MD)
Phone: (423) 915-1126

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X MD38189 Tennessee

Profile Details

NPI number 1477598076
LBN Legal business name Id Micro Pllc
DBA Doing business as
Authorized official Maki, Anton Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2006
Last updated Jan 24th, 2012 - about 13 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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