Lincoln Trail Medical Assoc., Pllc

LBN: Lincoln Trail Medical Assoc., Pllc
Lincoln Trail Medical Assoc., Pllc is an health care organization with primary practice located at 700 W Lincoln Trail Blvd , Radcliff KY 40160-2604. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Lincoln Trail Medical Assoc., Pllc can be contacted via phone (270) 351-3192, or through Movania, Jawed M via phone (270) 351-3192.

Contact Information

Primary practice address
700 W Lincoln Trail Blvd Radcliff KY 40160-2604
Fax: (270) 351-5499
Website:
Authorized official contact:
Name: Movania, Jawed M Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 31578 Kentucky

Profile Details

NPI number 1750356986
LBN Legal business name Lincoln Trail Medical Assoc., Pllc
DBA Doing business as
Authorized official Movania, Jawed M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2006
Last updated Jun 22nd, 2010 - about 14 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 1750356986 NPPES
Kentucky Other 000000047366 ANTHEM ID #
Kentucky MEDICAID 64315781 ANTHEM ID #

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