Mad Bird Dawg, Inc.

LBN: Mad Bird Dawg, Inc.
Mad Bird Dawg, Inc. is an health care organization with primary practice located at 725 Cherry Rd Ste 140 , Rock Hill SC 29732-3143. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Mad Bird Dawg, Inc. can be contacted via phone (803) 818-2120, or through Fockler, Eric via phone (770) 866-5334.

Contact Information

Primary practice address
725 Cherry Rd Ste 140 Rock Hill SC 29732-3143
Phone: (803) 818-2120
Fax: (803) 818-2119
Website:
Map and Directions
Authorized official contact:
Name: Fockler, Eric
Phone: (770) 866-5334

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1184394611
LBN Legal business name Mad Bird Dawg, Inc.
DBA Doing business as
Authorized official Fockler, Eric
Entity Organization
Organization subpart 1 No
Enumeration date Sep 16th, 2021
Last updated Sep 16th, 2021 - about 3 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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