Tidewater Internal Medicine Associates, P.C.
LBN: Tidewater Internal Medicine Associates, P.C.
Tidewater Internal Medicine Associates, P.C. is an health care organization with primary practice located at 2115 Executive Dr Suite 4-B, Hampton VA 23666-2499. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Tidewater Internal Medicine Associates, P.C. can be contacted via phone (757) 838-2891, or through Chinnery, Lind W. via phone (757) 838-2891.
Contact Information
Primary practice address
2115 Executive Dr Suite 4-B
Hampton VA 23666-2499
Phone: (757) 838-2891
Fax: (757) 838-6108
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1639138365 |
|---|---|
| LBN Legal business name | Tidewater Internal Medicine Associates, P.C. |
| DBA Doing business as | |
| Authorized official | Chinnery, Lind W. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 21st, 2006 |
| Last updated | Aug 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639138365 | NPPES |
| Other | C05867 | MEDICARE GROUP NUMBER |
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