Tri-State Digestive Disease Assoc Psc.

LBN: Tri-State Digestive Disease Assoc Psc.
Tri-State Digestive Disease Assoc Psc. is an health care organization with primary practice located at 617 23Rd St Suiye 11, Ashland KY 41101-2845. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Tri-State Digestive Disease Assoc Psc. can be contacted via phone (606) 324-3188, or through Canty, Michael Don via phone (606) 324-3188.

Contact Information

Primary practice address
617 23Rd St Suiye 11 Ashland KY 41101-2845
Phone: (606) 324-3188
Fax: (606) 329-2237
Website:
Map and Directions
Authorized official contact:
Name: Canty, Michael Don Doctor of Medicine (MD)
Phone: (606) 324-3188

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X Kentucky

Profile Details

NPI number 1851467237
LBN Legal business name Tri-State Digestive Disease Assoc Psc.
DBA Doing business as
Authorized official Canty, Michael Don Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2006
Last updated Jan 11th, 2012 - about 13 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 1851467237 NPPES
Ohio MEDICAID 0126072
Ohio MEDICAID 65920845

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