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
Phone: (270) 351-3192
Fax: (270) 351-5499
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1750356986 | NPPES |
Kentucky | Other | 000000047366 | ANTHEM ID # |
Kentucky | MEDICAID | 64315781 | ANTHEM ID # |
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