Long Term Care Of Tidewater Pc

LBN: Long Term Care Of Tidewater Pc
Long Term Care Of Tidewater Pc is an health care organization with primary practice located at 6160 Kempsville Cir Ste 325A , Norfolk VA 23502-3933. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Long Term Care Of Tidewater Pc can be contacted via phone (757) 917-5356, or through Walter, Jayne via phone (757) 917-5356.

Contact Information

Primary practice address
6160 Kempsville Cir Ste 325A Norfolk VA 23502-3933
Phone: (757) 917-5356
Fax: (757) 917-5141
Website:
Map and Directions
Authorized official contact:
Name: Walter, Jayne
Phone: (757) 917-5356

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1033154430
LBN Legal business name Long Term Care Of Tidewater Pc
DBA Doing business as
Authorized official Walter, Jayne
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2006
Last updated Nov 1st, 2019 - about 5 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 1033154430 NPPES
Virginia Other CK3562 RAILROAD MEDICARE GROUP #

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