Neurology Associates Of Johnson City Pc

LBN: Tri State Mountain Neurology Associates Pc
Neurology Associates Of Johnson City Pc is an health care organization with primary practice located at 1321 Sunset Drive Suite 11, Johnson City TN 37604-7902. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as the primary health care specialty. Tri State Mountain Neurology Associates Pc can be contacted via phone (423) 928-6174, or through Whaley, Nathaniel R via phone (423) 928-6174.

Contact Information

Primary practice address
1321 Sunset Drive Suite 11 Johnson City TN 37604-7902
Fax: (423) 926-2258
Website:
Authorized official contact:
Name: Whaley, Nathaniel R Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X

Profile Details

NPI number 1801823638
LBN Legal business name Tri State Mountain Neurology Associates Pc
DBA Doing business as Neurology Associates Of Johnson City Pc
Authorized official Whaley, Nathaniel R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2006
Last updated May 17th, 2023 - about last year

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 1801823638 NPPES
Other 164888600 OWCP
Other 000009788 OWCP
MEDICAID 3380796 OWCP

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