Lakeside Medical Associates Pc

LBN: Lakeside Medical Associates Pc
Lakeside Medical Associates Pc is an health care organization with primary practice located at 200 E Ferrell St , South Hill VA 23970-2104. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Lakeside Medical Associates Pc can be contacted via phone (434) 447-8081, or through Jain, Ajay via phone (434) 447-8081.

Contact Information

Primary practice address
200 E Ferrell St South Hill VA 23970-2104
Phone: (434) 447-8081
Fax: (434) 447-8202
Website:
Map and Directions
Authorized official contact:
Name: Jain, Ajay Doctor of Medicine (MD)
Phone: (434) 447-8081

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Virginia
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X Virginia

Profile Details

NPI number 1063442895
LBN Legal business name Lakeside Medical Associates Pc
DBA Doing business as
Authorized official Jain, Ajay Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 4th, 2006
Last updated Oct 15th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063442895 NPPES
Other DD2229 RAILROAD MEDICARE

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