Tri-State Allergy, Inc

LBN: Tri-State Allergy, Inc
Tri-State Allergy, Inc is an health care organization with primary practice located at 2301 Lexington Ave Ste 105 , Ashland KY 41101-2807. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as the primary health care specialty. Tri-State Allergy, Inc can be contacted via phone (304) 529-6100, or through Wilson, Matthew C via phone (304) 529-6100.

Contact Information

Primary practice address
2301 Lexington Ave Ste 105 Ashland KY 41101-2807
Phone: (304) 529-6100
Fax: (304) 529-0229
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Matthew C Doctor of Medicine (MD)
Phone: (304) 529-6100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X

Profile Details

NPI number 1386786796
LBN Legal business name Tri-State Allergy, Inc
DBA Doing business as
Authorized official Wilson, Matthew C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2007
Last updated Sep 5th, 2014 - about 11 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 1386786796 NPPES
Kentucky MEDICAID 64698772
Kentucky MEDICAID 64694763
Kentucky MEDICAID 65930083

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