Indian Trail Family Medicine

LBN: Union Physicians Network Inc
Indian Trail Family Medicine is an health care organization with primary practice located at 4503 Old Monroe Rd , Indian Trail NC 28079-5309. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Union Physicians Network Inc can be contacted via phone (704) 821-6900, or through Wiens, Daniel L via phone (704) 355-0648.

Contact Information

Primary practice address
4503 Old Monroe Rd Indian Trail NC 28079-5309
Phone: (704) 821-6900
Fax: (704) 821-6911
Website:
Map and Directions
Authorized official contact:
Name: Wiens, Daniel L
Phone: (704) 355-0648

Health care specialties

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

Profile Details

NPI number 1043386766
LBN Legal business name Union Physicians Network Inc
DBA Doing business as Indian Trail Family Medicine
Authorized official Wiens, Daniel L
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 27th, 2006
Last updated Aug 19th, 2011 - about 14 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 1043386766 NPPES
South Carolina MEDICAID NPB207
South Carolina MEDICAID 5905819

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