Tendercare Pediatrics

LBN: Joseph A Clan Jr Psc
Tendercare Pediatrics is an health care organization with primary practice located at 5211 Commerce Crossing Dr , Louisville KY 40229-2183. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Joseph A Clan Jr Psc can be contacted via phone (502) 966-3918, or through Clan, Joseph Alvin via phone (502) 966-3918.

Contact Information

Primary practice address
5211 Commerce Crossing Dr Louisville KY 40229-2183
Phone: (502) 966-3918
Fax: (502) 969-3665
Website:
Map and Directions
Authorized official contact:
Name: Clan, Joseph Alvin Doctor of Medicine (MD)
Phone: (502) 966-3918

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 22815 Kentucky

Profile Details

NPI number 1588626717
LBN Legal business name Joseph A Clan Jr Psc
DBA Doing business as Tendercare Pediatrics
Authorized official Clan, Joseph Alvin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1588626717 NPPES
Kentucky MEDICAID 64228158

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