Triangle Child Abuse Pediatric Services, Pllc
LBN: Triangle Child Abuse Pediatric Services, Pllc
Triangle Child Abuse Pediatric Services, Pllc is an health care organization with primary practice located at 1100 Navaho Dr Suite 121, Raleigh NC 27609-7319. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Child Abuse Pediatrics, which is considered as the primary health care specialty.
Triangle Child Abuse Pediatric Services, Pllc can be contacted via phone (919) 845-4620, or through Everett, Vivian Denise via phone (919) 845-4620.
Contact Information
Primary practice address
1100 Navaho Dr Suite 121
Raleigh NC 27609-7319
Phone: (919) 845-4620
Fax: (919) 846-8126
Website:
Authorized official contact:
Name: Everett, Vivian Denise Doctor of Medicine (MD)
Phone: (919) 845-4620
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child Abuse Pediatrics | 2080C0008X |
Profile Details
| NPI number | 1255660353 |
|---|---|
| LBN Legal business name | Triangle Child Abuse Pediatric Services, Pllc |
| DBA Doing business as | |
| Authorized official | Everett, Vivian Denise Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 18th, 2009 |
| Last updated | May 17th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255660353 | NPPES |
| North Carolina | MEDICAID | 5913571 |
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