Ketchum Wood & Burgert Chartered Drs Ketchum Wood & Burgert

LBN: Ketchum Wood & Burgert Chartered Drs Ketchum Wood & Burgert
Ketchum Wood & Burgert Chartered Drs Ketchum Wood & Burgert is an health care organization with primary practice located at 1899 Eider Ct , Tallahassee FL 32308-4537. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Ketchum Wood & Burgert Chartered Drs Ketchum Wood & Burgert can be contacted via phone (850) 878-5143, or through Fuqua, Angela via phone (850) 219-7603.

Contact Information

Primary practice address
1899 Eider Ct Tallahassee FL 32308-4537
Phone: (850) 878-5143
Fax: (850) 942-6622
Website:
Map and Directions
Authorized official contact:
Name: Fuqua, Angela
Phone: (850) 219-7603

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 800000042 Florida

Profile Details

NPI number 1558335869
LBN Legal business name Ketchum Wood & Burgert Chartered Drs Ketchum Wood & Burgert
DBA Doing business as
Authorized official Fuqua, Angela
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2006
Last updated May 15th, 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 1558335869 NPPES
Florida Other L8014 BC/BS LAB SERVICES
Florida Other CF6643 BC/BS LAB SERVICES
Florida MEDICAID 030063201 BC/BS LAB SERVICES

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