Mountainview Skin Care Pc

LBN: Mountainview Skin Care Pc
Mountainview Skin Care Pc is an health care organization with primary practice located at 4680 Brownsboro Rd B , Winston Salem NC 27106-3428. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Mountainview Skin Care Pc can be contacted via phone (336) 893-8423, or through Wortman, Paul via phone (336) 893-8423.

Contact Information

Primary practice address
4680 Brownsboro Rd B Winston Salem NC 27106-3428
Phone: (336) 893-8423
Fax: (336) 893-8426
Website:
Map and Directions
Authorized official contact:
Name: Wortman, Paul Doctor of Medicine (MD)
Phone: (336) 893-8423

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 126743 North Carolina

Profile Details

NPI number 1649492232
LBN Legal business name Mountainview Skin Care Pc
DBA Doing business as
Authorized official Wortman, Paul Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2007
Last updated Nov 27th, 2017 - about 7 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 1649492232 NPPES
North Carolina MEDICAID 8989261
North Carolina Other 89261
North Carolina Other 2346511
North Carolina Other DF5077

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