Petty Orthopaedics Pc

LBN: Petty Orthopaedics Pc
Petty Orthopaedics Pc is an health care organization with primary practice located at 1616 W. Main St. Suite 300, Lebanon TN 37087. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Petty Orthopaedics Pc can be contacted via phone (615) 443-7374, or through Petty, Damon H via phone (615) 443-7374.

Contact Information

Primary practice address
1616 W. Main St. Suite 300 Lebanon TN 37087
Phone: (615) 443-7374
Fax: (615) 443-5488
Website:
Map and Directions
Authorized official contact:
Name: Petty, Damon H Doctor of Medicine (MD)
Phone: (615) 443-7374

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X

Profile Details

NPI number 1184683179
LBN Legal business name Petty Orthopaedics Pc
DBA Doing business as
Authorized official Petty, Damon H Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2006
Last updated Sep 5th, 2012 - about 12 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 1184683179 NPPES
Tennessee MEDICAID 3732245
Tennessee Other 1861452195
Tennessee Other 3732245

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