Shoreline Anesthesia, Llc

LBN: Shoreline Anesthesia, Llc
Shoreline Anesthesia, Llc is an health care organization with primary practice located at 101 N Union St Unit 533 , Kokomo IN 46901-5045. The organization recently has only one registered license in Dental Providers / Dentist Anesthesiologist, which is considered as the primary health care specialty. Shoreline Anesthesia, Llc can be contacted via phone (718) 644-0622, or through Schaffer, Thomas John via phone (718) 644-0622.

Contact Information

Primary practice address
101 N Union St Unit 533 Kokomo IN 46901-5045
Phone: (718) 644-0622
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Schaffer, Thomas John Doctor of Dental Surgery (DDS)
Phone: (718) 644-0622

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist Anesthesiologist 1223D0004X

Profile Details

NPI number 1407445620
LBN Legal business name Shoreline Anesthesia, Llc
DBA Doing business as
Authorized official Schaffer, Thomas John Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2021
Last updated Jan 12th, 2021 - about 3 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 1407445620 NPPES
Northern Mariana Islands MEDICAID 1780052936

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