Man In The Box Anesthesia Llc
LBN: Man In The Box Anesthesia Llc
Man In The Box Anesthesia Llc is an health care organization with primary practice located at 809 82Nd Pkwy Anesthesia Dept, Myrtle Beach SC 29572-4607. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is the primary health care specialty.
Man In The Box Anesthesia Llc can be contacted via phone (240) 566-1600, or through Horstemeyer, Derek via phone (240) 566-1600.
Contact Information
Primary practice address
809 82Nd Pkwy Anesthesia Dept
Myrtle Beach SC 29572-4607
Phone: (240) 566-1600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | South Carolina | |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | South Carolina |
Profile Details
| NPI number | 1760462378 |
|---|---|
| LBN Legal business name | Man In The Box Anesthesia Llc |
| DBA Doing business as | |
| Authorized official | Horstemeyer, Derek Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Jul 21st, 2022 - about 2 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 | 1760462378 | NPPES |
| South Carolina | MEDICAID | GP3781 |
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