Main Line Family Medicine Inc

LBN: Main Line Family Medicine Inc
Main Line Family Medicine Inc is an health care organization with primary practice located at 1450 E Boot Rd Ste. 200A, West Chester PA 19380-5300. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Main Line Family Medicine Inc can be contacted via phone (610) 296-2760, or through Zelenska, Tetyana via phone (610) 296-2760.

Contact Information

Primary practice address
1450 E Boot Rd Ste. 200A West Chester PA 19380-5300
Phone: (610) 296-2760
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Zelenska, Tetyana Doctor of Medicine (MD)
Phone: (610) 296-2760

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1073718599
LBN Legal business name Main Line Family Medicine Inc
DBA Doing business as
Authorized official Zelenska, Tetyana Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1073718599 NPPES
Pennsylvania MEDICAID APPLYING

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