Main Street Medicine

LBN: Main Street Medical, Pllc
Main Street Medicine is an health care organization with primary practice located at 1667 Ooltewah Ringgold Rd , Ooltewah TN 37363-9830. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Main Street Medical, Pllc can be contacted via phone (423) 886-7545, or through Miranda, Paul A via phone (423) 521-5404.

Contact Information

Primary practice address
1667 Ooltewah Ringgold Rd Ooltewah TN 37363-9830
Phone: (423) 886-7545
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Miranda, Paul A
Phone: (423) 521-5404

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1417230129
LBN Legal business name Main Street Medical, Pllc
DBA Doing business as Main Street Medicine
Authorized official Miranda, Paul A
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2011
Last updated Feb 9th, 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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