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
Phone: (731) 410-2308
Fax: (731) 668-6757
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831312461 | NPPES |
| Tennessee | MEDICAID | 3375781 |
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