Physician'S Primary Care Pllc
LBN: Physician'S Primary Care Pllc
Physician'S Primary Care Pllc is an health care organization with primary practice located at 1804 E 10Th St , Jeffersonville IN 47130-6016. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Physician'S Primary Care Pllc can be contacted via phone (812) 288-2488, or through Campbell, Jeffrey A via phone (812) 288-2488.
Contact Information
Primary practice address
1804 E 10Th St
Jeffersonville IN 47130-6016
Phone: (812) 288-2488
Fax: (812) 288-6603
Website:
Authorized official contact:
Name: Campbell, Jeffrey A Doctor of Medicine (MD)
Phone: (812) 288-2488
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01036153A | Indiana |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 23424 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71001741A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3003535 | Kentucky |
Profile Details
| NPI number | 1962550020 |
|---|---|
| LBN Legal business name | Physician'S Primary Care Pllc |
| DBA Doing business as | |
| Authorized official | Campbell, Jeffrey A Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Oct 6th, 2014 - about 10 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 | 1962550020 | NPPES |
| Indiana | MEDICAID | 200043610A | |
| Indiana | Other | 50015623 | |
| Indiana | MEDICAID | 7100141580 |
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