Jackson Purchase Ent & Aesthetic Surgery

LBN: Pinelake Physician Practice Llc
Jackson Purchase Ent & Aesthetic Surgery is an health care organization with primary practice located at 1111 Medical Center Cir , Mayfield KY 42066-1194. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, which is considered as the primary health care specialty. Pinelake Physician Practice Llc can be contacted via phone (270) 251-4080, or through Vaughn, Timothy D via phone (615) 372-8500.

Contact Information

Primary practice address
1111 Medical Center Cir Mayfield KY 42066-1194
Phone: (270) 251-4080
Fax: (270) 251-4081
Website:
Map and Directions
Authorized official contact:
Name: Vaughn, Timothy D
Phone: (615) 372-8500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X

Profile Details

NPI number 1255650479
LBN Legal business name Pinelake Physician Practice Llc
DBA Doing business as Jackson Purchase Ent & Aesthetic Surgery
Authorized official Vaughn, Timothy D
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2010
Last updated May 27th, 2010 - about 14 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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