The Modern Country Doctor, Llc

LBN: The Modern Country Doctor, Llc
The Modern Country Doctor, Llc is an health care organization with primary practice located at 23 Industrial Blvd Ste D , Paoli PA 19301-1601. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Rural Health. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. The Modern Country Doctor, Llc can be contacted via phone (610) 890-8522, or through Faith, Dennis via phone (610) 890-8522.

Contact Information

Primary practice address
23 Industrial Blvd Ste D Paoli PA 19301-1601
Phone: (610) 890-8522
Fax: (484) 568-4748
Website:
Map and Directions
Authorized official contact:
Name: Faith, Dennis Doctor of Medicine (MD)
Phone: (610) 890-8522

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1225650930
LBN Legal business name The Modern Country Doctor, Llc
DBA Doing business as
Authorized official Faith, Dennis Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2020
Last updated May 15th, 2020 - about 4 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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