University Pediatric Gastroenterology, Llc
LBN: University Pediatric Gastroenterology, Llc
University Pediatric Gastroenterology, Llc is an health care organization with primary practice located at 720 2Nd St Ste 102, Bowling Green KY 42101-1778. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is the primary health care specialty.
University Pediatric Gastroenterology, Llc can be contacted via phone (502) 852-7670, or through Rabalais, Gerard P via phone (502) 852-8600.
Contact Information
Primary practice address
720 2Nd St Ste 102
Bowling Green KY 42101-1778
Phone: (502) 852-7670
Fax: (502) 852-7743
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X |
Profile Details
| NPI number | 1487953311 |
|---|---|
| LBN Legal business name | University Pediatric Gastroenterology, Llc |
| DBA Doing business as | |
| Authorized official | Rabalais, Gerard P Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 17th, 2011 |
| Last updated | Apr 5th, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487953311 | NPPES |
| Indiana | MEDICAID | 200945670 | |
| Indiana | MEDICAID | 7100063520 |
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