Tidewater Medical Clinic Pc

LBN: Tidewater Medical Clinic Pc
Tidewater Medical Clinic Pc is an health care organization with primary practice located at 111 Coastal Way , Chesapeake VA 23320-4603. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Tidewater Medical Clinic Pc can be contacted via phone (757) 549-9671, or through Carpio, Luis G. via phone (757) 549-9671.

Contact Information

Primary practice address
111 Coastal Way Chesapeake VA 23320-4603
Phone: (757) 549-9671
Fax: (757) 549-6802
Website:
Map and Directions
Authorized official contact:
Name: Carpio, Luis G. Doctor of Medicine (MD)
Phone: (757) 549-9671

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101055402 Virginia

Profile Details

NPI number 1467579482
LBN Legal business name Tidewater Medical Clinic Pc
DBA Doing business as
Authorized official Carpio, Luis G. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2007
Last updated Aug 22nd, 2020 - about 5 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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