Wellspring Healthcare, Pllc

LBN: Wellspring Healthcare, Pllc
Wellspring Healthcare, Pllc is an health care organization with primary practice located at 403 Princeton Rd Suite 7, Johnson City TN 37601-2056. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Wellspring Healthcare, Pllc can be contacted via phone (423) 283-0333, or through Sibley, Denise S via phone (423) 283-0333.

Contact Information

Primary practice address
403 Princeton Rd Suite 7 Johnson City TN 37601-2056
Phone: (423) 283-0333
Fax: (423) 283-0518
Website:
Map and Directions
Authorized official contact:
Name: Sibley, Denise S Doctor of Medicine (MD)
Phone: (423) 283-0333

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1821009747
LBN Legal business name Wellspring Healthcare, Pllc
DBA Doing business as
Authorized official Sibley, Denise S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Aug 10th, 2010 - 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 1821009747 NPPES
Tennessee MEDICAID 371182

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