Owen Park Pediatrics, Pa
LBN: Owen Park Pediatrics, Pa
Owen Park Pediatrics, Pa is an health care organization with primary practice located at 1520 Owen Park Ln , Fayetteville NC 28304-3454. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty.
Owen Park Pediatrics, Pa can be contacted via phone (910) 860-3500, or through Adholla, Paul O via phone (910) 860-3500.
Contact Information
Primary practice address
1520 Owen Park Ln
Fayetteville NC 28304-3454
Phone: (910) 860-3500
Fax: (910) 485-3507
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X |
Profile Details
NPI number | 1548424104 |
---|---|
LBN Legal business name | Owen Park Pediatrics, Pa |
DBA Doing business as | |
Authorized official | Adholla, Paul O Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jul 14th, 2008 |
Last updated | Jul 14th, 2008 - about 17 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 | 1548424104 | NPPES |
North Carolina | MEDICAID | 8911931 |
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