Tidewater Tlc Family Care Pllc

LBN: Tidewater Tlc Family Care Pllc
Tidewater Tlc Family Care Pllc is an health care organization with primary practice located at 745 Battlefield Blvd N , Chesapeake VA 23320-0305. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Tidewater Tlc Family Care Pllc can be contacted via phone (757) 436-6959, or through Blowe, Vanessa A via phone (757) 436-6959.

Contact Information

Primary practice address
745 Battlefield Blvd N Chesapeake VA 23320-0305
Phone: (757) 436-6959
Fax: (757) 549-1933
Website:
Map and Directions
Authorized official contact:
Name: Blowe, Vanessa A MD FAAFP
Phone: (757) 436-6959

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1386632495
LBN Legal business name Tidewater Tlc Family Care Pllc
DBA Doing business as
Authorized official Blowe, Vanessa A MD FAAFP
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2005
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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Identifiers

StateTypeNumberIssuer
All States NPI 1386632495 NPPES
Other 54190784 TRICARE
Other 57786 TRICARE
Other 393970 TRICARE

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