The Michal Child Development Center

LBN: The Michal Child Development Center
The Michal Child Development Center is an health care organization with primary practice located at 302 Wesley St Ste 10 , Johnson City TN 37601-1769. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. The Michal Child Development Center can be contacted via phone (423) 928-9007, or through Michal, Mary L via phone (423) 928-9007.

Contact Information

Primary practice address
302 Wesley St Ste 10 Johnson City TN 37601-1769
Phone: (423) 928-9007
Fax: (423) 928-9249
Website:
Map and Directions
Authorized official contact:
Name: Michal, Mary L Doctor of Medicine (MD)
Phone: (423) 928-9007

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD3984 Tennessee

Profile Details

NPI number 1417128968
LBN Legal business name The Michal Child Development Center
DBA Doing business as
Authorized official Michal, Mary L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2008
Last updated Mar 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417128968 NPPES
North Carolina MEDICAID 6906086
North Carolina Other 1275534810

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