In Charge Medical Professionals Tn,Pc
LBN: In Charge Medical Professionals Tn,Pc
In Charge Medical Professionals Tn,Pc is an health care organization with primary practice located at 709 Walnut St , Chattanooga TN 37402. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
In Charge Medical Professionals Tn,Pc can be contacted via phone (414) 312-5159, or through Czernejewski, Jodi via phone (262) 510-6350.
Contact Information
Primary practice address
709 Walnut St
Chattanooga TN 37402
Phone: (414) 312-5159
Fax: (888) 724-0875
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X |
Profile Details
| NPI number | 1265954424 |
|---|---|
| LBN Legal business name | In Charge Medical Professionals Tn,Pc |
| DBA Doing business as | |
| Authorized official | Czernejewski, Jodi |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 10th, 2017 |
| Last updated | Sep 11th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265954424 | NPPES |
| Indiana | MEDICAID | 300015506 | |
| Indiana | MEDICAID | 300015508 | |
| Indiana | MEDICAID | 300014452 | |
| Indiana | MEDICAID | 300015507 |
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