Jetty Psychiatric Services Llc

LBN: Jetty Psychiatric Services Llc
Jetty Psychiatric Services Llc is an health care organization with primary practice located at 401 Tuscaloosa Ave Sw Suite 110, Birmingham AL 35211-1416. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Psychiatry, which is considered as the primary health care specialty. Jetty Psychiatric Services Llc can be contacted via phone (205) 785-2000, or through Jetty, Praveen via phone (205) 785-2000.

Contact Information

Primary practice address
401 Tuscaloosa Ave Sw Suite 110 Birmingham AL 35211-1416
Phone: (205) 785-2000
Fax: (205) 785-2945
Website:
Map and Directions
Authorized official contact:
Name: Jetty, Praveen Doctor of Medicine (MD)
Phone: (205) 785-2000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X

Profile Details

NPI number 1750576815
LBN Legal business name Jetty Psychiatric Services Llc
DBA Doing business as
Authorized official Jetty, Praveen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2007
Last updated Sep 12th, 2007 - about 17 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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