West Tennessee Bone And Joint Clinic Pc

LBN: West Tennessee Bone And Joint Clinic Pc
West Tennessee Bone And Joint Clinic Pc is an health care organization with primary practice located at 24 Physicians Dr , Jackson TN 38305-2085. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Suppliers / Durable Medical Equipment & Medical Supplies. Other Service Providers / Specialist is the primary health care specialty. West Tennessee Bone And Joint Clinic Pc can be contacted via phone (731) 410-2308, or through Klutts, Donna W via phone (731) 661-9825.

Contact Information

Primary practice address
24 Physicians Dr Jackson TN 38305-2085
Fax: (731) 668-6757
Website:
Authorized official contact:
Name: Klutts, Donna W

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD08163 Tennessee
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 0369490001 Tennessee

Profile Details

NPI number 1831312461
LBN Legal business name West Tennessee Bone And Joint Clinic Pc
DBA Doing business as
Authorized official Klutts, Donna W
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2007
Last updated Nov 11th, 2021 - about 3 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 1831312461 NPPES
Tennessee MEDICAID 3375781

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